Individual provider · Type 1 NPI
Taiesha Raquel Black
Addiction (Substance Use Disorder) Counselor · Columbus, OH
NPI number
1073134292
Active
Practice location
5460 Cleveland Ave
Columbus, OH 43231-4005
Fax (614) 392-0275
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CDCA.173471 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1073134292
Taiesha Raquel Black's National Provider Identifier is 1073134292, issued on Apr 28, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Columbus, OH. The record was last updated on Apr 28, 2020.