Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
TYLEETA J MADISON
Active
Individual
TYLEETA J MADISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CDCA.171102
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CDCA.171102
LICENSE
OH
Enumeration date
10/22/2019
Last updated
10/22/2019
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