Individual provider · Type 1 NPI

Dominique Renee Crider

Addiction (Substance Use Disorder) Counselor · Maumee, OH

NPI number 1104540921 Active

Practice location

1760 Manley Rd
Maumee, OH 43537-9400

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X181937 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104540921

Dominique Renee Crider's National Provider Identifier is 1104540921, issued on Sep 27, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Maumee, OH. The record was last updated on Sep 27, 2022.