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Individual

CRYSTAL HENLEY

Active
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Individual

CRYSTAL HENLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSW

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.170433
OH
104100000X
Social Worker
S.2005032
OH
1041C0700X
Clinical Social Worker
Primary
S.2005032
OH
171M00000X
Case Manager/Care Coordinator
OH
172V00000X
Community Health Worker
OH

Other

Enumeration date
06/04/2019
Last updated
10/19/2021
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