| Crucible Life Resources | |
|
3130 Executive Pkwy Suite 908 Toledo OH 43606-5529 | |
| (419) 344-3671 | |
| Not Available |
| Full Name | Crucible Life Resources |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3130 Executive Pkwy, Toledo, Ohio |
| Authorized Official Name and Position | William K Roman (LMSW) |
| Authorized Official Contact | 4193443671 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crucible Life Resources 3408 Christie Blvd Toledo OH 43606-2863 Ph: (419) 344-3671 | Crucible Life Resources 3130 Executive Pkwy Suite 908 Toledo OH 43606-5529 Ph: (419) 344-3671 |
| NPI Number | 1427494772 |
|---|---|
| Provider Enumeration Date | 05/14/2013 |
| Last Update Date | 05/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427494772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | C1100264 (Ohio) | Primary |
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