Healthcare Provider Details

I. General information

NPI: 1902554249
Provider Name (Legal Business Name): CYNTHIA LORRAINE KUHL PCC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2022
Last Update Date: 03/15/2022
Certification Date: 03/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 E LIBERTY ST
WOOSTER OH
44691-4395
US

IV. Provider business mailing address

184 BLUE SPRUCE CT
SEVILLE OH
44273-9400
US

V. Phone/Fax

Practice location:
  • Phone: 330-466-8471
  • Fax:
Mailing address:
  • Phone: 330-466-8471
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE2975
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: