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NPI Code Detail

MEDICARE: LAURA CHRISTINE WONSIK MA, PCC

MEDICARE:   LAURA CHRISTINE WONSIK  MA, PCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorC0800467OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558687210
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA CHRISTINE WONSIK MA, PCC
Provider Business Mailing Address
First Line : 110 S COLLEGE AVE
Second Line :
City : OXFORD
State : OH
Zip : 45056-1738
Country : US
Telephone Number : 513-273-9043
Fax Number :
Provider Business Practice Location Address
First Line : 110 S COLLEGE AVE
Second Line :
City : OXFORD
State : OH
Zip : 45056-1738
Country : US
Telephone Number : 513-273-9043
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2010
Last Update Date : 07/22/2014

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