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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA MARY DECLARK

Active Sole Proprietor

Mental Health Counselor · PERRYSBURG, OH

Registration Details

NPI Number
1134470545
Provider Type
Individual
Gender
Female
NPI Issued
Sep 25, 2012 (13.573113531668 yrs)
Last Updated
Jul 8, 2016
License
E.1100125 (OH)
Sole Proprietor
Yes

Practice Information

Address
119 W 2ND ST
PERRYSBURG, OH, 435511402
Browse OH providers · Browse ZIP 43551
Phone
4193766059
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in PERRYSBURG, OH

Name Credential NPI
MRS. THERESA ANN MCCARTHY-ACOCKS ED.S. 1073773263
ANGELA JANINE KORTE PCC, LICDC, CHT 1891022745
JANE FRANCKHAUSER M.ED, PCC 1417224718
MR. RICHARD ALLAN HOERNEMANN LPC, LSW, LICDC 1023432614
PHILIP D HUGHES MA, PC 1669898094
SHELLEY HORINE LPC 1154735678
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.