Individual provider · Type 1 NPI

Kristie N. Maibach, CDCA

Addiction (Substance Use Disorder) Counselor · Mount Vernon, OH

NPI number 1962980953 Active

Practice location

213 E Chestnut St
Mount Vernon, OH 43050

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.167809 (OH)

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

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About NPI 1962980953

Kristie N. Maibach, CDCA's National Provider Identifier is 1962980953, issued on Aug 1, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mount Vernon, OH. The record was last updated on Aug 3, 2018.