Provider Demographics
NPI:1619105558
Name:METZ, CARA LYNN (PCC)
Entity Type:Individual
Prefix:MRS
First Name:CARA
Middle Name:LYNN
Last Name:METZ
Suffix:
Gender:F
Credentials:PCC
Other - Prefix:MISS
Other - First Name:CARA
Other - Middle Name:LYNN
Other - Last Name:CASHOUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PC
Mailing Address - Street 1:1130 CONGRESS AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-4484
Mailing Address - Country:US
Mailing Address - Phone:513-858-2000
Mailing Address - Fax:513-858-2888
Practice Address - Street 1:1130 CONGRESS AVE
Practice Address - Street 2:SUITE B
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-4484
Practice Address - Country:US
Practice Address - Phone:513-858-2000
Practice Address - Fax:513-858-2888
Is Sole Proprietor?:No
Enumeration Date:2009-06-30
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0500162101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional