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Individual
NINA ELISE VISCONTI
Active
Individual
NINA ELISE VISCONTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CT
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.2002843--TRNE
OH
171M00000X
Case Manager/Care Coordinator
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2871101
—
OH
Enumeration date
10/22/2020
Last updated
03/18/2021
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