Individual
CRYSTAL D HINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCCS/ LICDC
Contact information
Practice address
3575 FOREST LAKE DR STE 100, UNIONTOWN, OH 44685-8115
(330) 949-7043
Mailing address
3575 FOREST LAKE DR STE 100, UNIONTOWN, OH 44685-8115
(330) 949-7043
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC 111039
OH
101YM0800X
Mental Health Counselor
Primary
E0900175SUPV
OH
101YP2500X
Professional Counselor
E0900175SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E0900175 SUPV
PCCS
OH
01
—
LICDC 111039
LICDC
OH
Enumeration date
07/08/2010
Last updated
07/06/2023
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