Individual provider · Type 1 NPI

Tanya D. Zickefoose, CCAC

Addiction (Substance Use Disorder) Counselor · Elkins, WV

NPI number 1265587760 Active

Practice location

725 Yokum St
Elkins, WV 26241-3353

Call (304) 636-3232 Map

Fax (304) 636-9243

Mailing address

205 Randolph St
Buckhannon, WV 26201-2309

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X02-309 (WV)

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

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About NPI 1265587760

Tanya D. Zickefoose, CCAC's National Provider Identifier is 1265587760, issued on Jan 24, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Elkins, WV. The record was last updated on Jul 8, 2007.