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Individual
LISA SMITH
Active
Individual
LISA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDCII
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCII.141015
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCDC.141015-2
LICENSURE
OH
Enumeration date
10/26/2017
Last updated
07/08/2025
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