Healthcare Provider Details

I. General information

NPI: 1700329596
Provider Name (Legal Business Name): SONYA ANN STRUNK LCDC III
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2016
Last Update Date: 11/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7597 BRIDGETOWN RD
CINCINNATI OH
45248-2019
US

IV. Provider business mailing address

7597 BRIDGETOWN RD
CINCINNATI OH
45248-2019
US

V. Phone/Fax

Practice location:
  • Phone: 513-491-4999
  • Fax: 513-941-7555
Mailing address:
  • Phone: 513-491-4999
  • Fax: 513-941-7555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number151190
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: