Organization
COUNSELING RESOURCE CENTER OF MASON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL LIBSTORFF PCC-S (OWNER/THERAPIST)
(513) 288-8815
Entity
Organization
Contact information
Practice address
7577 CENTRAL PARKE BLVD, SUITE 225, MASON, OH 45040-6810
(513) 288-8815
(513) 229-8963
Mailing address
5670 EAGLE CREEK CT, MAINEVILLE, OH 45039-7200
(513) 288-8815
(513) 229-8963
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
E.00004149
OH
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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