KRISTIE N MAIBACH

MOUNT VERNON, OH
NPI1962980953
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.167809)
Enumeration Date2018-08-01
Last Update Date2018-08-03
Business Address
KRISTIE N MAIBACH CDCA
213 E CHESTNUT ST
MOUNT VERNON, OH 43050
Phone number: 740-326-9255
Mailing Address
KRISTIE N MAIBACH CDCA
213 E CHESTNUT ST
MOUNT VERNON, OH 43050-3404
Phone number: 740-326-9255