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Individual
KRISTINA ANN BRIDGENS
Active
Individual
KRISTINA ANN BRIDGENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCII.162082
OH
175T00000X
Peer Specialist
002181
OH
324500000X
Substance Abuse Rehabilitation Facility
177400
OH
Other
Enumeration date
01/03/2020
Last updated
06/12/2025
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