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NPI Code Detail

MEDICARE: CYNTHIA K COOK-WION LICDC-CS, LISW

MEDICARE: CYNTHIA K COOK-WION LICDC-CS, LISW
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
1101YA0400XAddiction (Substance Use Disorder) Counselor933501OH
21041C0700XClinical Social WorkerI.2304409OH

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 : 1720223464
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA K COOK-WION LICDC-CS, LISW
Provider Business Mailing Address
First Line : 600 WALNUT ST
Second Line : GREENVILLE
City : GREENVILLE
State : OH
Zip : 45331-1944
Country : US
Telephone Number : 937-548-6842
Fax Number : 937-548-8938
Provider Business Practice Location Address
First Line : 600 WALNUT ST
Second Line : GREENVILLE
City : GREENVILLE
State : OH
Zip : 45331-1944
Country : US
Telephone Number : 937-548-6842
Fax Number : 937-548-8938
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2008
Last Update Date : 06/05/2023

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1699922500 — DR. MARCIA K EMANUEL ED.D.
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1497990154 — GAIL WHITTINGTON CDCA
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1336384098 — SHIRLEY A RASOR LICDC
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Directions to “ CYNTHIA K COOK-WION LICDC-CS, LISW” Practice Location

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