Provider Demographics
NPI:1700329596
Name:STRUNK, SONYA ANN (LCDC III)
Entity Type:Individual
Prefix:MISS
First Name:SONYA
Middle Name:ANN
Last Name:STRUNK
Suffix:
Gender:F
Credentials:LCDC III
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7597 BRIDGETOWN RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45248-2019
Mailing Address - Country:US
Mailing Address - Phone:513-491-4999
Mailing Address - Fax:513-941-7555
Practice Address - Street 1:7597 BRIDGETOWN RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45248-2019
Practice Address - Country:US
Practice Address - Phone:513-491-4999
Practice Address - Fax:513-941-7555
Is Sole Proprietor?:No
Enumeration Date:2016-11-28
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH151190101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)