Gubanche, Chrystal Lynn
Gubanche, Chrystal Lynn is an individual health care provider with primary practice located at 797 S Main St , Lima OH 45804-1519. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Peer Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Gubanche, Chrystal Lynn can be contacted via phone (567) 242-6112.Contact Information
Primary practice address
797 S Main St
Lima OH 45804-1519
Phone: (567) 242-6112
Fax: (567) 289-5765
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 180806 | Ohio |
Other Service Providers / Peer Specialist | 175T00000X | ||
Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
NPI number | 1164155453 |
---|---|
LBN Legal business name | Gubanche, Chrystal Lynn |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 5th, 2022 |
Last updated | Mar 1st, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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