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
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | E170024 (OH) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 161426 (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.