Crystal Dawn Statom, LPC

NPI #1952146656 in Milford, Ohio

Provider Information

NPI Number: 1952146656
Entity Type: Individual
Name: Crystal Dawn Statom, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LPC
Enumeration Date: Jun 26, 2024
Last Updated: Jun 26, 2024

Practice Location

Address: 970 LILA AVE
City: Milford
State: Ohio
ZIP Code: 45150-1683
Phone: (513) 201-5440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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