Provider Demographics
NPI:1760791289
Name:VISSCHER, LINN MARY (MA LPC LMFT SAC-IT)
Entity Type:Individual
Prefix:
First Name:LINN
Middle Name:MARY
Last Name:VISSCHER
Suffix:
Gender:F
Credentials:MA LPC LMFT SAC-IT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 N OLD WORLD 3RD ST
Mailing Address - Street 2:SUITE 410
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53203-1100
Mailing Address - Country:US
Mailing Address - Phone:414-690-0891
Mailing Address - Fax:
Practice Address - Street 1:1110 N OLD WORLD 3RD ST
Practice Address - Street 2:SUITE 410
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53203-1100
Practice Address - Country:US
Practice Address - Phone:414-690-0891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-01
Last Update Date:2014-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI201-228106H00000X
WI976-226101YP2500X
WI4956-125101YP2500X
WI963-124106H00000X
WI17048-130101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)