Individual provider · Type 1 NPI

Audrey Jean Tate, LPC, AT, CDCA

Counselor · Elyria, OH

NPI number 1508225459 Active

Practice location

347 Midway Blvd, Suite 200
Elyria, OH 44035-9006

Call (440) 324-5701 Map

Fax (440) 324-9978

Mailing address

17852 Cannon Ave # Up
Lakewood, OH 44107-2206

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XC 1300788 (OH)
Addiction (Substance Use Disorder) Counselor 101YA0400X151783 (OH)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1508225459

Audrey Jean Tate, LPC, AT, CDCA's National Provider Identifier is 1508225459, issued on Feb 21, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Elyria, OH. The record was last updated on Feb 21, 2016.