MRS. Shanta M Pasika, LPC-IT, SAC-IT
NPI #1790469302 in Lake Geneva, Wisconsin
Provider Information
- NPI Number
- 1790469302
- Entity Type
- Individual
- Name
- MRS. Shanta M Pasika, LPC-IT, SAC-IT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC-IT, SAC-IT
- Enumeration Date
- Jun 14, 2023
- Last Updated
- Jun 14, 2023
Practice Location
- Address
- 647 W MAIN ST STE 900
- City
- Lake Geneva
- State
- Wisconsin
- ZIP Code
- 53147-1985
- Phone
- (262) 806-1467
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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