Individual provider · Type 1 NPI

Tina M. Knisley, LCDCIII

Counselor · Springfield, OH

NPI number 1104265461 Active

Practice location

100 Medical Center Dr
Springfield, OH 45504-2687

Call (937) 523-5363 Map

Fax (937) 523-5958

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X001134 (OH)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1104265461

Tina M. Knisley, LCDCIII's National Provider Identifier is 1104265461, issued on Jun 20, 2013. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Springfield, OH. The record was last updated on Jun 20, 2013.