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Individual

LISA M SNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
QMHSMA

Contact information

Practice address
195 N GRANT AVE STE 250, COLUMBUS, OH 43215-2855
(440) 234-2006
Mailing address
434 EASTLAND RD, BEREA, OH 44017-1217
(440) 260-8327

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
OH
171M00000X
Case Manager/Care Coordinator
OH
172V00000X
Community Health Worker
Primary
174200000X
Meals Provider
174400000X
Specialist
175T00000X
Peer Specialist
251E00000X
Home Health Agency
251S00000X
Community/Behavioral Health Agency
253Z00000X
In Home Supportive Care Agency
347C00000X
Private Vehicle

Other

Enumeration date
06/08/2018
Last updated
06/08/2018
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