Individual
TABITHA BRANDI TAKALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
934 EATON AVE, COLUMBUS, OH 43223-2404
(614) 353-5545
Mailing address
934 EATON AVE, COLUMBUS, OH 43223-2404
(614) 353-5545
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YS0200X
School Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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