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Individual

SUZANNE PLYMALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PRS

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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