Individual
LISA MARIE BANDSUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1426 CENTER RD, AVON, OH 44011-1214
(440) 846-0862
Mailing address
1201 WINDMILL WAY S, AVON, OH 44011-1793
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C0007589
OH
101YP2500X
Professional Counselor
Primary
C0007589
OH
101YP2500X
Professional Counselor
Primary
E.0007589
OH
Other
Enumeration date
12/29/2009
Last updated
02/18/2026
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