Individual
JACQUELINE CYKON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M ED, LPCC-S, LICDC
Contact information
Practice address
997 BOARDMAN CANFIELD RD, BOARDMAN, OH 44512-4223
(330) 758-0101
(330) 758-0128
Mailing address
2980 BELMONT AVE, YOUNGSTOWN, OH 44505-1834
(330) 759-0276
(330) 759-0030
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.162448
OH
101YM0800X
Mental Health Counselor
C.2002454
OH
101YM0800X
Mental Health Counselor
Primary
E.2202867-SUPV
OH
Other
Enumeration date
06/04/2019
Last updated
11/10/2023
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