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Individual
SARA R CICCHINELLI
Active
Individual
SARA R CICCHINELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.1901289
OH
251S00000X
Community/Behavioral Health Agency
C.1400204
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2844093
—
OH
Enumeration date
09/01/2017
Last updated
01/29/2020
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