Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crystal Gail Cisco, CDCA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1508697954

Crystal Gail Cisco, CDCA is an Addiction (Substance Use Disorder) Counselor in Lima, Ohio. Licensed in Ohio. Registered with an NPI since 2024.

Licensed in
OH
In the registry since
2024

Practice location Address checks out

1505 N Cole St
Lima, OH 45801-2432
Phone: (833) 510-4357
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDCA.194767 (OH)

Record details

NPI number1508697954
Entity typeIndividual (Type 1)
GenderFemale
Credentials CDCA
Sole proprietorNo
NPI enumeratedAugust 8, 2024
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026
Mailing address4600 Montgomery Rd Ste 400, Cincinnati, OH 45212-2600

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