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Individual

MRS. LISA FACKLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A. LPCC

Contact information

Practice address
615 ELSINORE PL STE 500, CINCINNATI, OH 45202-1455
(513) 231-6630
Mailing address
615 ELSINORE PL, CINCINNATI, OH 45202-1459

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
E.2303717
OH
101YP2500X
Professional Counselor
Primary
E.2303717
OH

Other

Enumeration date
02/11/2015
Last updated
12/18/2024
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