Individual provider · Type 1 NPI

Lisa M. McNicholas, CDCA

Addiction (Substance Use Disorder) Counselor · Youngstown, OH

NPI number 1104334929 Active

Practice location

527 N Meridian Rd
Youngstown, OH 44509-1227

Call (330) 797-0070 Map

Fax (330) 797-9146

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.169481 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104334929

Lisa M. McNicholas, CDCA's National Provider Identifier is 1104334929, issued on Jan 15, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Youngstown, OH. The record was last updated on Jun 24, 2025.