Individual provider · Type 1 NPI

Alexus Nicole Lisath, LCDCIII

Addiction (Substance Use Disorder) Counselor · Portsmouth, OH

NPI number 1336730696 Active

Practice location

303 Offnere St
Portsmouth, OH 45662-4655

Call (407) 150-0947 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X162667 (OH)

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

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About NPI 1336730696

Alexus Nicole Lisath, LCDCIII's National Provider Identifier is 1336730696, issued on Jan 29, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portsmouth, OH. The record was last updated on Sep 29, 2026.