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KATHERINE A CLINE GRYCZA CDCA NPI 1902313711


NPI Information

NPI: 1902313711
Provider Name: KATHERINE A CLINE GRYCZA, CDCA
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
4747 MONROE ST
TOLEDO, OH
ZIP 43623
Phone: (419) 740-5709
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Katherine A Cline Grycza, CDCA is an addiction (substance use disorder) counselor in Toledo, OH. Katherine A Cline Grycza, CDCA NPI is 1902313711. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4747 MONROE ST
TOLEDO, OH
ZIP 43623-307
Phone: (419) 740-5709

The enumeration date for this NPI number is 1/2/2018 and was last updated on 6/28/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)CDCA.169604OHIOYes
2101YM0800XCounselorMental HealthNo
3171M00000XCase Manager/Care CoordinatorCDCA.165592OHIONo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10327860MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.