Individual
MISS ELIZABETH E TADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1708 SOUTHPOINT DR, CLEVELAND, OH 44109-1911
(216) 787-0840
(216) 787-0840
Mailing address
30 E BROAD ST, 11TH FLOOR, COLUMBUS, OH 43215-3430
(614) 466-6583
(614) 644-5331
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E0005124
OH
Other
Enumeration date
03/21/2011
Last updated
03/21/2011
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