Tina M Knisley, LCDCIII

NPI #1104265461 in Springfield, Ohio

Provider Information

NPI Number: 1104265461
Entity Type: Individual
Name: Tina M Knisley, LCDCIII
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LCDCIII
Enumeration Date: Jun 20, 2013
Last Updated: Jun 20, 2013

Practice Location

Address: 100 MEDICAL CENTER DR
City: Springfield
State: Ohio
ZIP Code: 45504-2687
Phone: (937) 523-5363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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