Individual
CRYSTAL LYNN RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
1823 EDEN RD, HAMERSVILLE, OH 45130-9720
(513) 667-6958
Mailing address
25 WHITNEY DR, MILFORD, OH 45150-8402
(843) 503-6271
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
171898
OH
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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