Provider Demographics
NPI:1174922892
Name:CAPUCINI, VALERIE M (LPCC-S)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:M
Last Name:CAPUCINI
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1522 E PERKINS AVE STE A
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-7991
Mailing Address - Country:US
Mailing Address - Phone:419-465-8453
Mailing Address - Fax:
Practice Address - Street 1:1522 E PERKINS AVE STE A
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-7991
Practice Address - Country:US
Practice Address - Phone:419-465-8453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-19
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.1901216-SUPV101YP2500X
101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional