Individual provider · Type 1 NPI

Tiffany L. Costilla, CDCA

Addiction (Substance Use Disorder) Counselor · Fremont, OH

NPI number 1811573124 Active

Practice location

825 June St
Fremont, OH 43420-3417

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.176199 (OH)

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

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About NPI 1811573124

Tiffany L. Costilla, CDCA's National Provider Identifier is 1811573124, issued on Mar 18, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fremont, OH. The record was last updated on Mar 18, 2021.