Individual
MRS. AUDRA MARIA POPIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACC, LSW
Contact information
Practice address
6758 WARRINGTON DR, NORTH OLMSTED, OH 44070
(440) 821-0424
Mailing address
6758 WARRINGTON DR, NORTH OLMSTED, OH 44070-5052
(440) 821-0424
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C.1700191
OH
101YM0800X
Mental Health Counselor
C.1700191
OH
101YP2500X
Professional Counselor
C.1700191
OH
104100000X
Social Worker
S.0024565
OH
Other
Enumeration date
11/01/2013
Last updated
05/14/2018
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