Individual
BOBBI LAVONNE TUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
2211 LAKE CLUB DR STE 105, COLUMBUS, OH 43232-3204
(614) 805-2995
Mailing address
2211 LAKE CLUB DR STE 105, COLUMBUS, OH 43232-3204
(614) 805-2995
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.185905
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033857487
—
OH
Enumeration date
05/25/2022
Last updated
02/29/2024
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