Individual
CANDIDA CRASTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT-TRAINEE
Contact information
Practice address
4555 LAKE FOREST DR STE 650, BLUE ASH, OH 45242-3789
(513) 588-8095
Mailing address
2921 DUTTON CT, CENTERVILLE, OH 45458-9267
(937) 671-0502
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.2506901
OH
101YM0800X
Mental Health Counselor
M.2300343-TRNE
OH
Other
Enumeration date
08/14/2023
Last updated
04/11/2025
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