Individual provider · Type 1 NPI
Diane Lissfelt, LMSW, ACSW, CAC-1
Addiction (Substance Use Disorder) Counselor · Cheboygan, MI
NPI number
1124176995
Active
Practice location
6948 N Black River Rd
Cheboygan, MI 49721-9521
Fax (231) 625-9937
Mailing address
16231 Nipigon Rd
Cheboygan, MI 49721-9341
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1-03082 (MI) |
| Social Worker | 104100000X | 6801066875 (MI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Cheboygan
About NPI 1124176995
Diane Lissfelt, LMSW, ACSW, CAC-1's National Provider Identifier is 1124176995, issued on Jan 8, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cheboygan, MI. The record was last updated on Sep 11, 2025.