Individual provider · Type 1 NPI

Tait M. Hudak, CDCA

Addiction (Substance Use Disorder) Counselor · Dayton, OH

NPI number 1104652239 Active

Practice location

1 Elizabeth Pl
Dayton, OH 45417-3445

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X189857 (OH)

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

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About NPI 1104652239

Tait M. Hudak, CDCA's National Provider Identifier is 1104652239, issued on Sep 13, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dayton, OH. The record was last updated on Feb 16, 2026.