Individual
AMY KISSLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCDCI
Contact information
Practice address
118 W MAPLE AVE, BELLEFONTAINE, OH 43311
(937) 599-1975
(937) 599-2769
Mailing address
PO BOX 817, WEST LIBERTY, OH 43357-0817
(937) 599-1975
(937) 599-2769
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0000991
OH
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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