Individual
BAMBI SUZANNE HENDRIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPRS
Contact information
Practice address
104 SPINK ST, WOOSTER, OH 44691-3652
(330) 264-8498
(330) 264-3777
Mailing address
784 PARKVIEW DR, WOOSTER, OH 44691-2730
(330) 201-4107
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
176461
OH
175T00000X
Peer Specialist
Primary
0002786
OH
Other
Enumeration date
04/28/2021
Last updated
02/02/2022
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