KRYSTIA DODGE

CHARLESTOWN, IN
NPI1093033144
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2010-05-13
Last Update Date2010-05-13
Business Address
-- KRYSTIA DODGE
7509 CHARLESTOWN PIKE
CHARLESTOWN, IN 47111-9623
Phone number: 812-256-4686
Mailing Address
-- KRYSTIA DODGE
3448 BELLMEADE RD
LEXINGTON, KY 40517-2306
Phone number: