| Doctor Name: | CARA L SUSSMAN |
| NPI Number: | 1396061909 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | C.0800162-CR |
| Business Practice Address: | 466 N Cassady Ave Bexley, OH - 432091027 |
| Business Phone Number: | 6149490082 |
| Business Fax Number: | 6145737221 |
| Mailing Address: | 466 N Cassady Ave, BEXLEY |
| State: | OH |
| Postal Code: | 432091027 |
| Phone Number: | 6149490082 |
| Fax Number: | 6145737221 |
| NPI Enumeration Date: | 04/08/2010 |
| NPI Last Update Date: | 04/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | C.0800162-CR |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |