# ANDREW LERBACK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1255838637
- **Gender:** Man
- **Credential:** CDCA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | CDCA.164271 | OH | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | CDCA.167622 | OH | Yes |

## Other

- **Enumeration date:** 04/11/2018
- **Last updated:** 10/17/2018