CHRYSTAL AUTUMN MILES

MARIETTA, OH
NPI1376061333
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  140643)
Enumeration Date2017-08-30
Last Update Date2022-01-06
Business Address
CHRYSTAL AUTUMN MILES LCDCIII
27750 STATE ROUTE 7
MARIETTA, OH 45750-5147
Phone number: 740-371-5160
Mailing Address
CHRYSTAL AUTUMN MILES LCDCIII
9403 KENWOOD RD
BLUE ASH, OH 45242-6895
Phone number: 330-687-4731
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