Individual
KYLEE N CRISLIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC-S
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E1800691SUPV
OH
101YP2500X
Professional Counselor
E1901217
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0265937
—
OH
Enumeration date
10/14/2016
Last updated
12/18/2020
Update your record
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