Lisa Wiese, LCSW

NPI 1124410675 · on the registry since 2015

Practice

Address: 2950 W Chicago Ave
Suite 202
Chicago, IL 60622
Phone: (773) 632-8675
Organisation at this address: Agave Studio, Llc
Hearthstone Psychology Pllc
Brave Space Counseling & Consulting Llc
Agave Studio For Psychotherapy And Spiritual Direction
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-02-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois