Individual
MR. DANIEL JOHN CUCIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PCC-S, LICDC
Contact information
Practice address
1455 S 4TH ST, COLUMBUS, OH 43207-1011
(614) 444-0800
(614) 444-1036
Mailing address
1455 S 4TH ST, COLUMBUS, OH 43207-1011
(614) 444-0800
(614) 444-1036
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
151074
OH
101YP2500X
Professional Counselor
Primary
E.0500916 SUPV
OH
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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