Individual provider · Type 1 NPI

Candice Tudor, CDCA

Addiction (Substance Use Disorder) Counselor · Dayton, OH

NPI number 1285350215 Active

Practice location

865 S Patterson Blvd
Dayton, OH 45402-2624

Call (937) 966-4673 Map

Mailing address

100 Crowne Point Pl
Cincinnati, OH 45241-5427

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Peer Specialist 175T00000XAPS.003541 (OH)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.187019 (OH)

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

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About NPI 1285350215

Candice Tudor, CDCA's National Provider Identifier is 1285350215, issued on Oct 12, 2022. 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 May 15, 2024.