Individual
LISA M DEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, PCC, SC
Contact information
Practice address
555 BATAVIA PIKE, CINCINNATI, OH 45244-1518
(513) 752-1555
Mailing address
1633 RAGLAN ST, CINCINNATI, OH 45230-1724
(513) 231-0201
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E0004248
OH
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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