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NPI Code Detail

MEDICARE: MISS BRIA CRISS

MEDICARE: MISS BRIA CRISS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor189630OH

General Provider Information

NPI Number : 1407682537
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS BRIA CRISS
Provider Business Mailing Address
First Line : 1526 NORWOOD AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43607-1816
Country : US
Telephone Number : 567-290-0706
Fax Number :
Provider Business Practice Location Address
First Line : 3231 CENTRAL PARK W STE 106
Second Line :
City : TOLEDO
State : OH
Zip : 43617-3009
Country : US
Telephone Number : 567-290-0706
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2024
Last Update Date : 09/23/2024

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Directions to “ MISS BRIA CRISS ” Practice Location

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