Individual
KIERSTYN ALDEI CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC, LICDC
Contact information
Practice address
201 N YELLOW SPRINGS ST, SPRINGFIELD, OH 45504-2650
(513) 834-7063
Mailing address
615 ELSINORE PL STE 200, CINCINNATI, OH 45202-1457
(513) 834-7063
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.161313
OH
101YM0800X
Mental Health Counselor
C.1500438
OH
101YP2500X
Professional Counselor
Primary
E.1800967-SUPV
OH
Other
Enumeration date
04/06/2018
Last updated
06/11/2021
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