| Doctor Name: | LISA DONOHUE-OLIVIERI |
| NPI Number: | 1013344860 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LADC, LCAT |
| License Number: | 44.001060 |
| Business Practice Address: | 30 Highbrook Rd Norwalk, CT - 068513904 |
| Business Phone Number: | 2035053063 |
| Business Fax Number: | |
| Mailing Address: | 30 Highbrook Rd., NORWALK |
| State: | CT |
| Postal Code: | 06851 |
| Phone Number: | 2035053063 |
| Fax Number: | |
| NPI Enumeration Date: | 10/10/2013 |
| NPI Last Update Date: | 10/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 44.001060 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |