Individual provider · Type 1 NPI
Lisa M. Shoup, LDAC
Addiction (Substance Use Disorder) Counselor · Columbus, NE
NPI number
1174832547
Active
Practice location
4321 41st St
Columbus, NE 68601-9414
Fax (402) 564-0611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 875 (NE) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1174832547
Lisa M. Shoup, LDAC's National Provider Identifier is 1174832547, issued on Oct 1, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Columbus, NE. The record was last updated on Jan 20, 2015.