Individual
MR. DANIEL S. LIEZERT
Active
Individual
MR. DANIEL S. LIEZERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.D.C.A., PRS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.181820
OH
172V00000X
Community Health Worker
Primary
CDCA.185627
OH
175T00000X
Peer Specialist
APS.003366
OH
Other
Enumeration date
07/04/2022
Last updated
02/01/2024
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