Individual provider · Type 1 NPI

Tyrena Depp, CDCA

Addiction (Substance Use Disorder) Counselor · Toledo, OH

NPI number 1013554039 Active

Practice location

500 Madison Ave Unit 5
Toledo, OH 43604-1222

Call (419) 690-4544 Map

Mailing address

1409 Slater St Apt 103
Toledo, OH 43612-2762

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.170607 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1013554039

Tyrena Depp, CDCA's National Provider Identifier is 1013554039, issued on Dec 9, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Toledo, OH. The record was last updated on Feb 17, 2023.