Individual
MS. LISA MARIE NEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
222 TONGASS DR, SITKA, AK 99835-9416
(630) 800-8164
Mailing address
222 TONGASS DR, SITKA, AK 99835-9416
(630) 800-8164
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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