Individual
LYDIA JEAN WASSERBAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5720 GATEWAY STE 102, MASON, OH 45040-1891
(513) 549-1598
Mailing address
5039 DELHI RD APT 309, CINCINNATI, OH 45238-5788
(513) 846-3664
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.2305137
OH
101YP2500X
Professional Counselor
Primary
C.2305137
OH
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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