Individual
ELIZABETH JILL CROSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8035 HOSBROOK RD STE 300, CINCINNATI, OH 45236-2932
(513) 791-5990
(513) 792-3308
Mailing address
1775 E MCMILLAN ST APT 1, CINCINNATI, OH 45206-2171
(513) 722-5343
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C1100437
OH
101YP2500X
Professional Counselor
Primary
C1100437
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C1100437
STATE LICENSE NUMBER
OH
Enumeration date
07/23/2019
Last updated
07/23/2019
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