Most Relevant Information
Provider Data
| NPI Number: | 1003405895 |
| Provider Name: | KRISTA ELNORA SPICER CPSS |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/15/2021 |
| Last Updated: | 01/15/2021 |
Provider Practice Location
799 S MAIN ST
LIMA
OH
458041519
Practice Location Phone/Fax
| Phone: | 4192292222 |
| Fax: |
Provider Mailing Location
5982 RHODES RD
KENT
OH
442408100
Provider Mailing Phone/Fax
| Phone: | 3306731347 |
| Fax: | 3306783677 |