Individual provider · Type 1 NPI

Tara Daree Foxworth, CDCA

Addiction (Substance Use Disorder) Counselor · Cleveland, OH

NPI number 1720439425 Active

Practice location

1227 Ansel Rd
Cleveland, OH 44108-3323

Call (216) 421-0662 Map

Fax (216) 421-0911

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X160112 (OH)

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

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About NPI 1720439425

Tara Daree Foxworth, CDCA's National Provider Identifier is 1720439425, issued on Jun 24, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cleveland, OH. The record was last updated on Jun 24, 2016.