| Ms Tammy Cupp, LPCC, LICDC | |
|
433 W High St, Bryan, OH 43506-1690 | |
| (419) 636-1131 | |
| (419) 636-3100 |
| Full Name | Ms Tammy Cupp |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 433 W High St, Bryan, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285045203 | NPI | - | NPPES |
| 0183607 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E170024 (Ohio) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 161426 (Ohio) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Tammy Cupp, LPCC, LICDC Po Box 182, Blakeslee, OH 43505-0182 Ph: (419) 633-7489 | Ms Tammy Cupp, LPCC, LICDC 433 W High St, Bryan, OH 43506-1690 Ph: (419) 636-1131 |
Michael L Freeman, LPCC, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 433 W High St, Bryan, OH 43506 Phone: 419-636-1131 Fax: 419-636-3100 | |
Meghan Ann Simpson, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 516 E High St, Bryan, OH 43506 Phone: 419-633-0705 | |
Roger Dean Carlson, M.A., L.P.C.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 424 S Portland St, Bryan, OH 43506 Phone: 419-636-1513 | |
Elizabeth Lay, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1254 S Main St, Bryan, OH 43506 Phone: 440-260-6835 | |
Shelly Mae Johnson, L.P.C.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 S Beech St, Bryan, OH 43506 Phone: 419-212-5938 Fax: 419-784-2255 | |
Kathleen Ann Moreau, M.A.,L.P.C.C.,LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 424 S Portland St, Bryan, OH 43506 Phone: 419-636-0756 |