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Individual

BETH MOORE TJOLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSW, MSW, LICDC

Contact information

Practice address
929 HARRISON AVE, COLUMBUS, OH 43215-1346
(478) 262-5727
Mailing address
929 HARRISON AVE, COLUMBUS, OH 43215-1346

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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