Individual
BETH MOORE TJOLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW, MSW, LICDC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.162466
OH
104100000X
Social Worker
Primary
S.2005642
OH
1041C0700X
Clinical Social Worker
—
OH
Other
Enumeration date
06/26/2018
Last updated
07/21/2025
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