Individual provider · Type 1 NPI

Kristan S. Hursh, LCDC II

Addiction (Substance Use Disorder) Counselor · Dayton, OH

NPI number 1124515804 Active

Practice location

4124 Linden Ave
Dayton, OH 45432-3018

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLCDCII161394 (OH)

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

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About NPI 1124515804

Kristan S. Hursh, LCDC II's National Provider Identifier is 1124515804, issued on Apr 18, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dayton, OH. The record was last updated on Apr 18, 2018.