Healthcare Provider Details

I. General information

NPI: 1720902364
Provider Name (Legal Business Name): ALISEN BIGERTON CDCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

430 N MEMORIAL DR
LANCASTER OH
43130-3052
US

IV. Provider business mailing address

6035 INDIAN RUN RD NE
PLEASANTVILLE OH
43148-9512
US

V. Phone/Fax

Practice location:
  • Phone: 614-882-4343
  • Fax:
Mailing address:
  • Phone: 614-882-4343
  • Fax: 614-882-4664

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number196162
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: