ALEXUS NICOLE LISATH

PORTSMOUTH, OH
NPI1336730696
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  162667)
Enumeration Date2021-01-29
Last Update Date2025-07-28
Business Address
ALEXUS NICOLE LISATH LCDCIII
303 OFFNERE ST
PORTSMOUTH, OH 45662-4655
Phone number: 407-150-0947
Mailing Address
ALEXUS NICOLE LISATH LCDCIII
303 OFFNERE ST
PORTSMOUTH, OH 45662-4655
Phone number: 740-715-0094
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