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Individual
LORENA FAYE BISSELL
Active
Individual
LORENA FAYE BISSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC11.162038
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
180248
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDC11.162038
OH
175T00000X
Peer Specialist
0001984
OH
Other
Enumeration date
10/26/2021
Last updated
10/20/2025
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