Organization Name: | INTEGRATIVE COUNSELING SOLUTIONS, LLC |
NPI Number: | 1235583865 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CRYSTAL A HUBBELL (THERAPIST/SUPERVISER) |
Mailing Address: | 3287 Yelton Ln Amelia |
State: | OH US |
Postal Code: | 451029153 |
Phone Number: | 5137874037 |
Fax Number: | |
NPI Enumeration Date: | 04/20/2016 |
NPI Last Update Date: | 04/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | E.1100061 SUPV |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |