Crystal Gail Cisco, CDC-A, PRS

NPI #1508697954 in Van Wert, Ohio

Provider Information

NPI Number
1508697954
Entity Type
Individual
Name
Crystal Gail Cisco, CDC-A, PRS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
CDC-A, PRS
Enumeration Date
Aug 8, 2024
Last Updated
Aug 8, 2024

Practice Location

Address
123 S WASHINGTON ST
State
Ohio
ZIP Code
45891-1707
Phone
(419) 771-1050

Specialties & Taxonomy Codes

Specialty
Peer Specialist
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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