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

Krystal Dawn Portis

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1760165450

Krystal Dawn Portis is an Addiction (Substance Use Disorder) Counselor in Urbana, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2023

Practice location Address checks out

1675 E US Highway 36
Urbana, OH 43078-9600
Phone: (937) 536-0288
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 CDCA185123 (OH)

Record details

NPI number1760165450
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 9, 2023
Last updated in NPPESAugust 9, 2023
Certification dateAugust 9, 2023

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