Individual
FADUMA AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW, CDCA
Contact information
Practice address
4653 E MAIN ST, WHITEHALL, OH 43213-3298
(614) 384-7703
(614) 384-7703
Mailing address
4653 E MAIN ST, WHITEHALL, OH 43213-3298
(614) 384-7703
(614) 384-7703
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA181201
OH
104100000X
Social Worker
Primary
S.2208392
OH
171M00000X
Case Manager/Care Coordinator
—
OH
172V00000X
Community Health Worker
—
OH
Other
Enumeration date
08/30/2021
Last updated
01/06/2023
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