Individual
SUZANNE PLYMALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PRS
Contact information
Practice address
1380 DUBLIN RD, COLUMBUS, OH 43215-1025
(614) 488-7117
(614) 488-7118
Mailing address
1715 KING AVE APT D, COLUMBUS, OH 43212-2047
(650) 678-2587
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.172099
OH
101YM0800X
Mental Health Counselor
QMHS
—
171M00000X
Case Manager/Care Coordinator
CMS
—
175T00000X
Peer Specialist
Primary
0001408
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0351485
—
OH
05
—
0379407
—
OH
Enumeration date
05/30/2019
Last updated
08/31/2021
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