Provider Demographics
NPI:1649507500
Name:PARSONS-NUHN, WENDIE F (PCCS, LSW, LICDC)
Entity type:Individual
Prefix:
First Name:WENDIE
Middle Name:F
Last Name:PARSONS-NUHN
Suffix:
Gender:F
Credentials:PCCS, LSW, LICDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 BENEDICT AVE STE 105A
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:OH
Mailing Address - Zip Code:44857-2112
Mailing Address - Country:US
Mailing Address - Phone:419-668-9675
Mailing Address - Fax:419-668-9675
Practice Address - Street 1:85 BENEDICT AVE STE 105A
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:OH
Practice Address - Zip Code:44857-2112
Practice Address - Country:US
Practice Address - Phone:419-668-9675
Practice Address - Fax:419-668-9675
Is Sole Proprietor?:No
Enumeration Date:2009-11-12
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS15369104100000X
OH131078101YA0400X
OHE3772101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)