Individual
CYNTHIA WADYSZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, PC, C.HT.
Contact information
Practice address
5758 MAIN ST, SUITE 3, SYLVANIA, OH 43560-1990
(734) 625-0011
Mailing address
14765 IDA WEST RD, PETERSBURG, MI 49270-9506
(734) 625-0011
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401013381
MI
101Y00000X
Counselor
C.1100230
OH
Other
Enumeration date
11/08/2012
Last updated
12/20/2023
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