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Tina M Knisley, LCDCIII
Counselor in Springfield, Ohio
NPI 1104265461

Tina M Knisley is a Counselor based in Springfield, OH. Tina M Knisley practices in Springfield, OH and has the professional credentials of LCDCIII. The NPI Number for Tina M Knisley is 1104265461 and holds a License No. 001134 (Ohio).

The current practice location address for Tina M Knisley is 100 Medical Center Dr, Springfield, OH and can be reached out via phone at 937-523-5363 and via fax at 937-523-5958.

Location: 100 Medical Center Dr, Springfield, OH, 45504-2687
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104265461
Provider Name
Tina M Knisley
Credential
LCDCIII
Provider Entity Type
Individual
Gender
Female
Address
100 Medical Center Dr, Springfield, OH, 45504-2687
Phone Number
937-523-5363
Fax Number
937-523-5958
Provider Enumeration Date
06/20/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00134 01 OH LCDCIII
institution
Provider Business Practice Location Address Details
Address
100 Medical Center Dr
City
Springfield
State
Ohio
Zip
45504-2687
Phone Number
937-523-5363
Fax Number
937-523-5958
person
Provider Business Mailing Address Details
Address
100 Medical Center Dr
City
Springfield
State
Ohio
Zip
45504-2687
Phone Number
937-523-5363
Fax Number
937-523-5958
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
001134 (Ohio)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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