Provider Demographics
NPI:1518446699
Name:ALLHISER, GLORIA (LPC)
Entity Type:Individual
Prefix:
First Name:GLORIA
Middle Name:
Last Name:ALLHISER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 NICOLET BLVD
Mailing Address - Street 2:
Mailing Address - City:NEENAH
Mailing Address - State:WI
Mailing Address - Zip Code:54956-2756
Mailing Address - Country:US
Mailing Address - Phone:920-212-1517
Mailing Address - Fax:920-666-0947
Practice Address - Street 1:301 NICOLET BLVD
Practice Address - Street 2:
Practice Address - City:NEENAH
Practice Address - State:WI
Practice Address - Zip Code:54956-2756
Practice Address - Country:US
Practice Address - Phone:920-212-1517
Practice Address - Fax:920-666-0947
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-09
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8105-125101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health