Individual
MR. DANIEL S LIBSTORFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PCC-S
Contact information
Practice address
7757 CENTRAL PARKE BVLD, SUITE 225, MASON, OH 45040
(513) 288-8815
(513) 229-8963
Mailing address
5670 EAGLE CREEK CT, MAINEVILLE, OH 45039-7200
(513) 288-8815
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E0004149
OH
Other
Enumeration date
08/15/2012
Last updated
11/07/2012
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