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MS. LISA ANNE DILLE PC, LCDC III

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1487996047

Individual Registrant:
MS. LISA ANNE DILLE PC, LCDC III
Gender: F
Not Sole Proprietor

Location and contact information for practice:
4334 SECOR RD  TOLEDO, OH 43623 US
Tel: 419-475-6478  Fax: --

Contact information for business:
1705 INDIAN WOOD CIR STE 200  MAUMEE, OH 43537-4046 US
Tel: 419-969-7243  Fax: 419-750-1977

Registration Information:
NPI: 1487996047
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
OH121014
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
OHC.0800032

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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