Individual
DEEANNA TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.180051
OH
104100000X
Social Worker
Primary
S.2208084
OH
Other
Enumeration date
02/04/2019
Last updated
07/28/2022
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