Individual
MS. LISA ANN NEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA PCC-S
Contact information
Practice address
1012 ODNR MOHICAN 51, PERRYSVILLE, OH 44864-9407
(419) 994-0300
(419) 994-0305
Mailing address
1012 ODNR MOHICAN 51, PERRYSVILLE, OH 44864-9407
(419) 994-0300
(419) 994-0305
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C0600060
OH
101YP2500X
Professional Counselor
Primary
E.0600060.SUPV
OH
Other
Enumeration date
05/15/2008
Last updated
03/17/2018
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