Individual
CRYSTAL BIVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1008 YELLOWSTONE RD, CLEVELAND HEIGHTS, OH 44121-1423
(216) 240-8034
Mailing address
1008 YELLOWSTONE RD, CLEVELAND HEIGHTS, OH 44121-1423
(216) 240-8034
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
APP-000465259
OH
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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