Provider Demographics
NPI:1841080850
Name:AGRIPPINE, NZOBANDORA
Entity type:Individual
Prefix:
First Name:NZOBANDORA
Middle Name:
Last Name:AGRIPPINE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2902 BOUDINOT AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45238-8400
Mailing Address - Country:US
Mailing Address - Phone:513-368-7895
Mailing Address - Fax:
Practice Address - Street 1:2902 BOUDINOT AVE APT 1
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45238-8400
Practice Address - Country:US
Practice Address - Phone:513-368-7895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty