| NPI | 1699657163 |
|---|---|
| Former Name | JESSICA LYNN KRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.190090) |
| Enumeration Date | 2025-07-24 |
| Last Update Date | 2025-07-24 |