Individual
KRISTY GRACIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC-S
Contact information
Practice address
5565 AIRPORT HWY STE 100&203, TOLEDO, OH 43615-7379
(419) 720-5800
Mailing address
PO BOX 29, BOWLING GREEN, OH 43402
(419) 352-5387
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
C.1000010
OH
101YP2500X
Professional Counselor
Primary
E.1600095-SUPV
OH
Other
Enumeration date
10/16/2014
Last updated
03/08/2023
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