Individual
MRS. CRYSTAL ICKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
1336 JACKSON PIKE, GALLIPOLIS, OH 45631-2601
(740) 645-2292
(740) 441-9400
Mailing address
1336 JACKSON PIKE, GALLIPOLIS, OH 45631-2601
(757) 645-2292
(740) 441-9400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA181105
OH
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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