Individual provider · Type 1 NPI

Brenda Kross

Addiction (Substance Use Disorder) Counselor · Fairborn, OH

NPI number 1235479494 Active

Practice location

302 W Main St
Fairborn, OH 45324-5037

Call (937) 281-4673 Map

Fax (937) 318-1120

Mailing address

3103 Dixie Hwy
Hamilton, OH 45015-1653

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLCDC 081183-3 (OH)
Addiction (Substance Use Disorder) Counselor 101YA0400XCS.00000015 (OH)
Mental Health Counselor 101YM0800XS.0701012 (OH)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLICDC.081183 (OH)

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

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About NPI 1235479494

Brenda Kross's National Provider Identifier is 1235479494, issued on Feb 26, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairborn, OH. The record was last updated on Jun 7, 2022.