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Individual
KRYSTAL L GESICKI
Active
Individual
KRYSTAL L GESICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW, LICDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.161416
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
S1200918
OH
1041C0700X
Clinical Social Worker
Primary
I.1600727-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0192132
—
OH
01
—
I.1600727-SUPV
LICENSE
OH
01
—
LICDC.161416
LICENSE
OH
Enumeration date
02/26/2016
Last updated
05/25/2023
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