Provider Demographics
NPI:1467598987
Name:KRUZEL-O'KEEFE, CYNTHIA ANN (LPCC-S)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:ANN
Last Name:KRUZEL-O'KEEFE
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6670 VERNETTE AVE
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44515-2100
Mailing Address - Country:US
Mailing Address - Phone:330-286-0050
Mailing Address - Fax:330-286-0055
Practice Address - Street 1:4030 BOARDMAN CANFIELD RD
Practice Address - Street 2:SUITE 200C
Practice Address - City:CANFIELD
Practice Address - State:OH
Practice Address - Zip Code:44406-9505
Practice Address - Country:US
Practice Address - Phone:330-286-0050
Practice Address - Fax:330-286-0055
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC 0500751101YP2500X
OHE0500751101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional