Individual
CAROLYN POPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
659 E MAIN ST STE D, JACKSON, OH 45640-2177
(866) 534-2639
(800) 480-7578
Mailing address
17 N MICHIGAN AVE, WELLSTON, OH 45692-1141
(740) 688-1460
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0055696
—
OH
Enumeration date
01/08/2024
Last updated
04/23/2026
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