Crystal Blue, PEERSUPPORT
Crystal Blue, PEERSUPPORT is a Peer Specialist in Dayton, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2024
Practice location Address checks out
4977 Northcutt PlDayton, OH 45414-3839
Phone: (800) 829-5461
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence APS005618 (OH) |
|---|
Record details
| NPI number | 1669288171 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PEERSUPPORT |
| Sole proprietor | Yes |
| NPI enumerated | December 9, 2024 |
| Last updated in NPPES | December 9, 2024 |
| Certification date | December 9, 2024 |
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