Individual
CRYSTAL OERTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 MARION AVE, MANSFIELD, OH 44903-2223
(419) 774-9969
Mailing address
750 BARNARD AVE, MANSFIELD, OH 44903-1830
(419) 631-0259
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.166220
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.170007
OH
Other
Enumeration date
04/05/2018
Last updated
11/28/2022
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