CRYSTAL DESIREE STEPHEN

XENIA, OH
NPI1861253122
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.186419)
Enumeration Date2024-01-23
Last Update Date2025-02-18
Business Address
CRYSTAL DESIREE STEPHEN CDCA
36 N DETROIT ST
XENIA, OH 45385-2909
Phone number: 937-610-4673
Mailing Address
CRYSTAL DESIREE STEPHEN CDCA
100 CROWNE POINT PL
CINCINNATI, OH 45241-5427
Phone number: 513-743-7628