Grover E Criswell LPCC

NPI 1316169410 - Counselor - 101YM0800X

NPI Details
NPI 1316169410
Gender Male
Enumeration Date 05/02/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
351 REGENCY RIDGE DR
DAYTON OH, 45459-4252, US
Phone (937) 439-5009
Fax (937) 439-4316
Business Location
351 REGENCY RIDGE DR
DAYTON OH, 45459-4252, US
Phone (937) 439-5009
Fax (937) 439-4316
Toxanomy
Taxonomy Code 101YM0800X
License State Ohio
License Number E0000814
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According to our database, Grover E Criswell LPCC NPI is 1316169410, taxonomy code is 101YM0800X and license number is E0000814, license state is located at Ohio. Grover E Criswell LPCC physically located at 351 Regency Ridge Dr, Dayton OH, 45459-4252. NPI Number Grover E Criswell LPCC has the Individual type.

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1316169410 NPI number is provided on an as is basis without warranty of any kind. 1316169410 is maintained by the National Plan & Provider Enumeration System. The contents of Grover E Criswell LPCC are for informational purposes only.