Jeffrey Kistler Lpcc LLC

NPI #1114486628 in Maumee, Ohio

Provider Information

NPI Number: 1114486628
Entity Type: Organization
Organization Name: Jeffrey Kistler Lpcc LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Mar 14, 2019
Last Updated: Apr 23, 2019

Practice Location

Address: 1715 INDIAN WOOD CIR STE 200
City: Maumee
State: Ohio
ZIP Code: 43537-4055
Phone: (419) 740-8477

Authorized Official

Name: MR. JEFF KISTLER, LPCC
Title: MANAGING MEMBER
Phone: (419) 843-1370

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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