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NPI Code Detail

MEDICARE: CRYSTAL SIPE LPC

MEDICARE: CRYSTAL SIPE LPC
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
1101YP2500XProfessional CounselorC.1700749OH

General Provider Information

NPI Number : 1710490362
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRYSTAL SIPE LPC
Provider Business Mailing Address
First Line : 15 N 3RD ST STE 300
Second Line :
City : NEWARK
State : OH
Zip : 43055-5550
Country : US
Telephone Number : 740-349-7511
Fax Number :
Provider Business Practice Location Address
First Line : 59 GRANT ST
Second Line :
City : NEWARK
State : OH
Zip : 43055-3939
Country : US
Telephone Number : 740-349-7511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2017
Last Update Date : 09/22/2023

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Directions to “ CRYSTAL SIPE LPC” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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