Individual provider · Type 1 NPI

Tina Joy Zickefoose

Addiction (Substance Use Disorder) Counselor · Wooster, OH

NPI number 1487149605 Active

Practice location

104 Spink St
Wooster, OH 44691-3652

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X140173 (OH)

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

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About NPI 1487149605

Tina Joy Zickefoose's National Provider Identifier is 1487149605, issued on Jun 29, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wooster, OH. The record was last updated on Jun 29, 2018.