Individual
CYNTHIA BOBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
195 N GRANT AVE, COLUMBUS, OH 43215-2855
(740) 877-5055
Mailing address
507 W FRONT ST APT 3, LOGAN, OH 43138-1638
(740) 870-7531
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.180958
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0378240
—
OH
Enumeration date
04/28/2021
Last updated
10/11/2022
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