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Individual

JAMES TELFAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CDCA, QMHS, CMS

Contact information

Practice address
502 S RACCOON RD APT G21, YOUNGSTOWN, OH 44515-3688
(330) 881-2696
Mailing address
502 S RACCOON RD APT G21, YOUNGSTOWN, OH 44515-3688
(330) 881-2696

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.168959
OH
171M00000X
Case Manager/Care Coordinator
OH
172V00000X
Community Health Worker
OH

Other

Enumeration date
06/12/2018
Last updated
11/06/2024
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