MS. WANDA SUE COBURN MA. PCC NPI 1174658884

NPI Information

NPI: 1174658884
Provider Name: MS. WANDA SUE COBURN, MA., PCC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
900 MULL AVE
AKRON, OH
ZIP 44313
Phone: (330) 867-5603
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MS. Wanda Sue Coburn, MA., PCC is a mental health counselor in Akron, OH. MS. Wanda Sue Coburn, MA., PCC NPI is 1174658884. 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:

900 MULL AVE
AKRON, OH
ZIP 44313-502
Phone: (330) 867-5603

The enumeration date for this NPI number is 2/22/2007 and was last updated on 7/9/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	E0002808	OHIO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200131	OTHER	OHIO	VALUE OPTIONS
2	6289134	OTHER	OHIO	UNITED BEHAVIORAL HEALTH
3	34-1213335-026	OTHER	OHIO	CARESOURCE
4	00000217562	OTHER	OHIO	ANTHEM BC BS
5	2375451	MEDICAID	OHIO

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

NPI Synchronization or Removal

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