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Individual
DIANE LISSFELT
Active
Individual
DIANE LISSFELT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, ACSW, CAC-1
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1-03082
MI
104100000X
Social Worker
6801066875
MI
Other
Enumeration date
01/08/2007
Last updated
09/11/2025
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