Individual
MRS. KRISTA J. WASSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA.ED.,LPCC,LICDC-CS
Contact information
Practice address
1011 BOARDMAN CANFIELD RD, YOUNGSTOWN, OH 44512-4226
(330) 629-2434
(330) 629-2199
Mailing address
5925 STILLSON PL, BOARDMAN, OH 44512-2929
(330) 774-0536
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
E.0800048
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
E.0800048
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
ICDC.161123-CS
OH
101YM0800X
Mental Health Counselor
E.0800048
OH
101YP2500X
Professional Counselor
Primary
E.0800048
OH
Other
Enumeration date
02/01/2009
Last updated
07/14/2016
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