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Lisa M Keck
Addiction (Substance Use Disorder) Counselor in Cincinnati, Ohio
NPI 1588390637

Lisa M Keck is an Addiction (Substance Use Disorder) Counselor based in Cincinnati, OH and is specialized in Addiction (Substance Use Disorder). Lisa M Keck practices in Cincinnati, OH. The NPI Number for Lisa M Keck is 1588390637 and holds a License No. 0002772 (Ohio).

The current practice location address for Lisa M Keck is 1501 Madison Rd, Cincinnati, OH and can be reached out via phone at 513-354-5200 and via fax at 513-354-7115.

Location: 1501 Madison Rd, Cincinnati, OH, 45206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588390637
Provider Name
Lisa M Keck
Credential
Provider Entity Type
Individual
Gender
Female
Address
1501 Madison Rd, Cincinnati, OH, 45206
Phone Number
513-354-5200
Fax Number
513-354-7115
Provider Enumeration Date
07/29/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00000 01 OH LICENSURE BOARD
institution
Provider Business Practice Location Address Details
Address
1501 Madison Rd
City
Cincinnati
State
Ohio
Zip
45206
Phone Number
513-354-5200
Fax Number
513-354-7115
person
Provider Business Mailing Address Details
Address
1501 Madison Rd
City
Cincinnati
State
Ohio
Zip
45206
Phone Number
513-354-5200
Fax Number
513-354-7115
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CDCA.180655 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
0002772 (Ohio)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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