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

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1-03082 (MI)
Social Worker 104100000X6801066875 (MI)

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

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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.