Crucible Life Resources

NPI #1427494772 in Toledo, Ohio

Provider Information

NPI Number: 1427494772
Entity Type: Organization
Organization Name: Crucible Life Resources
Primary Specialty: Counselor - Professional
Enumeration Date: May 14, 2013
Last Updated: May 14, 2013

Practice Location

Address: 3130 EXECUTIVE PKWY
Address 2: SUITE 908
City: Toledo
State: Ohio
ZIP Code: 43606-5529
Phone: (419) 344-3671

Authorized Official

Name: WILLIAM K ROMAN, LMSW
Title: LMSW
Phone: (419) 344-3671

Specialties & Taxonomy Codes

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

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