Individual
CHAD TISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5563 FAR HILLS AVE, DAYTON, OH 45429-2225
(937) 291-2300
(937) 291-2303
Mailing address
5563 FAR HILLS AVE, DAYTON, OH 45429-2225
(740) 485-2326
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
193842
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.189716
OH
Other
Enumeration date
09/11/2024
Last updated
10/03/2025
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