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1649904632
CRYSTAL ICKLER
GALLIPOLIS, OH
NPI
1649904632
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH CDCA181105)
Enumeration Date
2022-07-14
Last Update Date
2022-07-14
Business Address
MRS. CRYSTAL ICKLER CDCA
1336 JACKSON PIKE
GALLIPOLIS, OH 45631-2601
Phone number: 740-645-2292
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Mailing Address
MRS. CRYSTAL ICKLER CDCA
1336 JACKSON PIKE
GALLIPOLIS, OH 45631-2601
Phone number: 757-645-2292
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