Individual
MRS. ABBEY LYNN WILCOX-SAMIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCC-S
Contact information
Practice address
20525 CENTER RIDGE RD, STE. 520, ROCKY RIVER, OH 44116-3437
(216) 374-5888
Mailing address
20525 CENTER RIDGE RD, STE. 520, ROCKY RIVER, OH 44116-3437
(216) 374-5888
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E4238
OH
101YP2500X
Professional Counselor
E4238
OH
Other
Enumeration date
07/12/2007
Last updated
09/18/2010
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