Individual
CHRISTI STACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4761 STATE ROUTE 29, CELINA, OH 45822-8216
(419) 584-1000
(419) 584-1825
Mailing address
4761 STATE ROUTE 29, CELINA, OH 45822-8216
(419) 584-1000
(419) 584-1825
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.011152
OH
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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