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Individual
TINA LOUISE TAYLOR
Active
Individual
TINA LOUISE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.172929
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CDCA.169080
—
OH
Enumeration date
01/22/2019
Last updated
12/27/2021
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