| Krystal Dawn Portis, | |
|
1675 E Us Highway 36, Urbana, OH 43078-9600 | |
| (937) 536-0288 | |
| Not Available |
| Full Name | Krystal Dawn Portis |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1675 E Us Highway 36, Urbana, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760165450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA185123 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Krystal Dawn Portis, 1675 E Us Highway 36, Urbana, OH 43078-9600 Ph: (937) 536-0288 | Krystal Dawn Portis, 1675 E Us Highway 36, Urbana, OH 43078-9600 Ph: (937) 536-0288 |
Mrs. Cristie L Yontz-hall, PCC Counselor Medicare: Medicare Enrolled Practice Location: 204 Patrick Ave, Urbana, OH 43078 Phone: 937-484-6157 | |
Ms. Ruth Eileen Montgomery, LISW-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 1150 Scioto St, Suite 200, Urbana, OH 43078 Phone: 937-652-4555 Fax: 937-652-4945 | |
Leila Allen, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 40 Monument Square, Urbana, OH 43078 Phone: 937-653-5583 Fax: 937-653-4787 | |
John Timothy West, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 430 S Main St, Urbana, OH 43078 Phone: 937-652-1474 | |
Kimberly A. G. Leichty, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1522 East Us Rte 36, Suite A, Urbana, OH 43078 Phone: 937-653-5583 Fax: 937-653-4787 | |
Nicole Lee Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1150 Scioto St Ste 100, Urbana, OH 43078 Phone: 937-653-1349 Fax: 937-653-1387 | |
Mrs. Tina Cotto, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 904 Scioto St, Urbana, OH 43078 Phone: 937-653-3001 |