Individual provider · Type 1 NPI

Kevan Scott Tatum

Addiction (Substance Use Disorder) Counselor · Columbus, OH

NPI number 1306625314 Active

Practice location

3035 W Broad St
Columbus, OH 43204-2653

Mailing address

1155 Georges Pl Apt B
Columbus, OH 43204-1079

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.183657 (OH)

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

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About NPI 1306625314

Kevan Scott Tatum's National Provider Identifier is 1306625314, issued on Sep 28, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Columbus, OH. The record was last updated on Sep 28, 2023.