Individual provider · Type 1 NPI

Tammy Cupp, LPCC, LICDC

Professional Counselor · Bryan, OH

NPI number 1285045203 Active

Practice location

433 W High St
Bryan, OH 43506-1690

Fax (419) 636-3100

Mailing address

PO Box 182
Blakeslee, OH 43505-0182

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XE170024 (OH)
Addiction (Substance Use Disorder) Counselor 101YA0400X161426 (OH)

Professional Counselor: Definition to come...

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About NPI 1285045203

Tammy Cupp, LPCC, LICDC's National Provider Identifier is 1285045203, issued on May 13, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bryan, OH. The record was last updated on Mar 30, 2017.