Individual provider · Type 1 NPI

Tifany Len O'Rourke, LSW, CDCA

Addiction (Substance Use Disorder) Counselor · Piketon, OH

NPI number 1457041626 Active

Practice location

15221 State Route 772
Piketon, OH 45661-9062

Call (740) 912-9499 Map

Fax (740) 835-8692

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.184190 (OH)

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

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About NPI 1457041626

Tifany Len O'Rourke, LSW, CDCA's National Provider Identifier is 1457041626, issued on May 11, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Piketon, OH. The record was last updated on Jun 20, 2024.