Individual provider · Type 1 NPI

Jordan Tylor Hart, CDCA

Addiction (Substance Use Disorder) Counselor · Columbus, OH

NPI number 1669334751 Active

Practice location

4998 W Broad St Ste 104
Columbus, OH 43228-1647

Mailing address

4079 Clabber Rd Ste 105
Columbus, OH 43207-4207

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X197246 (OH)
Case Manager/Care Coordinator 171M00000X197246 (OH)

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

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About NPI 1669334751

Jordan Tylor Hart, CDCA's National Provider Identifier is 1669334751, issued on Nov 26, 2025. 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 Oct 5, 2026.