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General NPI Number Information
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NPI Number | 1528959350
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Entity Type | Organization
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Legal Business Name | COUNSELOR LISA, LLC
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 9930 TANBARK TRL
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City | CONCORD TWP
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State | OH
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Zip | 44060-7244
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Country | US
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Telephone | 216-513-9405
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Fax |
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Provider Business Mailing Address
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Address Line | 9930 TANBARK TRL
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City | CONCORD TWP
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State | OH
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Zip | 44060-7244
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Country | US
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Telephone | 216-513-9405
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR
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Name | LISA MARIE CUFFARI
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Credential | M.S., LPCC-S
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Telephone | 440-214-2226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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