Individual provider · Type 1 NPI
Tanya Hendricks, CDCA
Addiction (Substance Use Disorder) Counselor · Lorain, OH
NPI number
1699208645
Active
Practice location
2115 W Park Dr
Lorain, OH 44053-1138
Fax (440) 282-4779
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CDCA.163066 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1699208645
Tanya Hendricks, CDCA's National Provider Identifier is 1699208645, issued on Apr 6, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lorain, OH. The record was last updated on Apr 6, 2017.