Individual provider · Type 1 NPI

Alyssa Emani Ideis, CDCA

Addiction (Substance Use Disorder) Counselor · Columbus, OH

NPI number 1104332378 Active

Practice location

99 N Brice Rd Ste 320
Columbus, OH 43213-6519

Call (614) 759-1176 Map

Mailing address

3676 Bracknell Forest Dr
Groveport, OH 43125-9160

Other practice locations

  • 1319 Florencedale Ave, Youngstown, OH 44505-2719 · (330) 787-9180

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.163937 (OH)

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

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About NPI 1104332378

Alyssa Emani Ideis, CDCA's National Provider Identifier is 1104332378, issued on Dec 23, 2017. 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 Mar 17, 2018.