Organization
JEFFREY KISTLER LPCC LLC
Active
Other names
FREEDOM FOUND COUNSELING SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF KISTLER LPCC (MANAGING MEMBER)
(419) 843-1370
Entity
Organization
Contact information
Practice address
1715 INDIAN WOOD CIR STE 200, MAUMEE, OH 43537-4055
(419) 740-8477
Mailing address
7071 W CENTRAL AVE # 4, TOLEDO, OH 43617-2700
(419) 843-1370
(419) 754-2311
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12277089
CAQH
OH
Enumeration date
03/14/2019
Last updated
04/23/2019
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