LISA DECLARK
Counselor - Mental Health
Active
Individual
NPI: 1134470545
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | Yes | E.1100125 (OH) |
Frequently Asked Questions
NPI 1134470545 is the National Provider Identifier for LISA DECLARK, a Counselor - Mental Health provider located in Perrysburg, OH. This NPI was enumerated on September 25, 2012.
LISA DECLARK practices at 119 W 2ND ST, Perrysburg, OH 43551.
Quick Facts
- NPI
- 1134470545
- Type
- Individual
- Enumerated
- Sep 25, 2012
- Last Updated
- Jul 8, 2016
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