Individual provider · Type 1 NPI

Cynthia Jane Wall, LICDC

Addiction (Substance Use Disorder) Counselor · Bucyrus, OH

NPI number 1255434262 Active

Practice location

2458 Stetzer Rd
Bucyrus, OH 44820-2066

Call (419) 562-2000 Map

Fax (419) 562-1296

Mailing address

PO Box 765
Bucyrus, OH 44820-0765

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X954357 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1255434262

Cynthia Jane Wall, LICDC's National Provider Identifier is 1255434262, issued on Sep 6, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bucyrus, OH. The record was last updated on Jul 8, 2007.