Individual
LISA A BEBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LICDC
Contact information
Practice address
30 E COLLEGE AVE # C, WESTERVILLE, OH 43081-1601
(614) 973-9582
Mailing address
PO BOX 29303, COLUMBUS, OH 43229-0303
(614) 973-9582
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C 0800125
OH
101Y00000X
Counselor
E-1300055
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
111005
OH
101YM0800X
Mental Health Counselor
E1300055
OH
101YP2500X
Professional Counselor
Primary
C0800125
OH
101YP2500X
Professional Counselor
E1300055
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0336521
—
OH
05
—
1134527997
—
OH
Enumeration date
09/30/2013
Last updated
02/27/2020
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