Individual
ALEXANDER BISHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
862 HAVENDALE DR, COLUMBUS, OH 43220-5025
(614) 975-4327
Mailing address
862 HAVENDALE DR, COLUMBUS, OH 43220-5025
(614) 975-4327
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII.061036
OH
1041C0700X
Clinical Social Worker
Primary
I.1600616
OH
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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