Individual provider · Type 1 NPI

Tyleeta J. Madison, CDCA

Counselor · Lorain, OH

NPI number 1164065256 Active

Practice location

2115 W Park Dr
Lorain, OH 44053-1138

Call (440) 989-4900 Map

Fax (440) 282-4779

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XCDCA.171102 (OH)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1164065256

Tyleeta J. Madison, CDCA's National Provider Identifier is 1164065256, issued on Oct 22, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Lorain, OH. The record was last updated on Oct 22, 2019.