KRYSTAL DAWN PORTIS

URBANA, OH
NPI1760165450
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA185123)
Enumeration Date2023-08-09
Last Update Date2023-08-09
Business Address
KRYSTAL DAWN PORTIS
1675 E US HIGHWAY 36
URBANA, OH 43078-9600
Phone number: 937-536-0288
Mailing Address
KRYSTAL DAWN PORTIS
1675 E US HIGHWAY 36
URBANA, OH 43078-9600
Phone number: 937-536-0288
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