Individual
CARLENE AMELIA CRISLIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC, ATR
Contact information
Practice address
7519 MENTOR AVE STE 114, MENTOR, OH 44060-5410
(440) 701-6170
(440) 527-8043
Mailing address
7519 MENTOR AVE STE 114, MENTOR, OH 44060-5410
(440) 701-6170
(440) 527-8043
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.2102435
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2844093
—
OH
Enumeration date
09/11/2017
Last updated
09/23/2024
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