Individual provider · Type 1 NPI

Tara Nelson

Addiction (Substance Use Disorder) Counselor · Fairborn, OH

NPI number 1114832961 Active

Practice location

1825 Commerce Center Blvd
Fairborn, OH 45324-6336

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCAPRE.196759 (OH)

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

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About NPI 1114832961

Tara Nelson's National Provider Identifier is 1114832961, issued on Aug 17, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairborn, OH. The record was last updated on Aug 17, 2026.