Individual provider · Type 1 NPI

Lisa Mary Declark

Mental Health Counselor · Perrysburg, OH

NPI number 1134470545 Active

Practice location

119 W 2nd St
Perrysburg, OH 43551-1402

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XE.1100125 (OH)

Mental Health Counselor: Definition to come...

8 other providers at this address

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About NPI 1134470545

Lisa Mary Declark's National Provider Identifier is 1134470545, issued on Sep 25, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Perrysburg, OH. The record was last updated on Jul 8, 2016.