Individual provider · Type 1 NPI
Krystal Dawn Portis
Addiction (Substance Use Disorder) Counselor · Urbana, OH
NPI number
1760165450
Active
Practice location
1675 E US Highway 36
Urbana, OH 43078-9600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CDCA185123 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1760165450
Krystal Dawn Portis's National Provider Identifier is 1760165450, issued on Aug 9, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Urbana, OH. The record was last updated on Aug 9, 2023.