Provider Demographics
NPI:1427870419
Name:KRUPPA, ADINA JADE MARIE (CDCA)
Entity type:Individual
Prefix:
First Name:ADINA
Middle Name:JADE MARIE
Last Name:KRUPPA
Suffix:
Gender:F
Credentials:CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4844 BELLANN RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-5506
Mailing Address - Country:US
Mailing Address - Phone:724-822-0335
Mailing Address - Fax:
Practice Address - Street 1:4844 BELLANN RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-5506
Practice Address - Country:US
Practice Address - Phone:724-822-0335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCDCA.188661101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)