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NPI Code Detail

MEDICARE: MS. PAULA MARIE SANFORD LPCC-S

MEDICARE: MS. PAULA MARIE SANFORD LPCC-S
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 CounselorE.0500134-SUPVOH

General Provider Information

NPI Number : 1760573729
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PAULA MARIE SANFORD LPCC-S
Provider Business Mailing Address
First Line : 615 ELSINORE PL STE 200
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-1459
Country : US
Telephone Number : 513-834-7063
Fax Number : 513-873-1567
Provider Business Practice Location Address
First Line : 999 N MAIN ST
Second Line :
City : AKRON
State : OH
Zip : 44310-1456
Country : US
Telephone Number : 513-834-7063
Fax Number : 513-873-1567
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 05/07/2025

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