Individual provider · Type 1 NPI
Tyeisha Cousins, CDCA, QMHS
Addiction (Substance Use Disorder) Counselor · Bainbridge, OH
NPI number
1447814967
Active
Practice location
1071 Tong Hollow Rd
Bainbridge, OH 45612-1500
Mailing address
401 E Mcmillan St
Cincinnati, OH 45206-1922
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CDCA.172089 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1447814967
Tyeisha Cousins, CDCA, QMHS's National Provider Identifier is 1447814967, issued on Apr 30, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bainbridge, OH. The record was last updated on Dec 5, 2019.