MEDICARE: SYDNEY CRAMER-BODENBENDER LPCC

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
1	101YM0800X	Mental Health Counselor	E.2303635	OH

General Provider Information

NPI Number	:	1407492887
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYDNEY CRAMER-BODENBENDER LPCC

Provider Business Mailing Address
First Line	:	820 CLAIRMONT AVE
Second Line	:
City	:	NAPOLEON
State	:	OH
Zip	:	43545-1237
Country	:	US
Telephone Number	:	419-966-6190
Fax Number	:

Provider Business Practice Location Address
First Line	:	22 TURTLE CREEK CIR STE F
Second Line	:
City	:	SWANTON
State	:	OH
Zip	:	43558-8592
Country	:	US
Telephone Number	:	419-825-5151
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2019
Last Update Date	:	02/23/2024

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Directions to “ SYDNEY CRAMER-BODENBENDER LPCC” Practice Location

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