Individual provider · Type 1 NPI

Crystal Gail Cisco, CDCA

Addiction (Substance Use Disorder) Counselor · Lima, OH

NPI number 1508697954 Active

Practice location

1505 N Cole St
Lima, OH 45801-2432

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.194767 (OH)

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

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About NPI 1508697954

Crystal Gail Cisco, CDCA's National Provider Identifier is 1508697954, issued on Aug 8, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lima, OH. The record was last updated on Mar 9, 2026.