Individual provider · Type 1 NPI

Lisa A. Lavelle, M.ED., LSW, LICDC-CS

Addiction (Substance Use Disorder) Counselor · Columbus, OH

NPI number 1194055467 Active

Practice location

4998 W Broad St Ste 104
Columbus, OH 43228-1647

Fax (614) 319-6123

Mailing address

275 Powhatan Ave
Columbus, OH 43204-1916

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XLSW # S.0011653 (OH)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLICDC # 933526 (OH)

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

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About NPI 1194055467

Lisa A. Lavelle, M.ED., LSW, LICDC-CS's National Provider Identifier is 1194055467, issued on Jan 7, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Columbus, OH. The record was last updated on Jan 17, 2022.