person
Ms. Taiesha Raquel Black
Addiction (Substance Use Disorder) Counselor in Columbus, Ohio
NPI 1073134292

Taiesha Raquel Black is an Addiction (Substance Use Disorder) Counselor based in Columbus, OH and is specialized in Addiction (Substance Use Disorder). Taiesha Raquel Black practices in Columbus, OH. The NPI Number for Taiesha Raquel Black is 1073134292 and holds a License No. CDCA.173471 (Ohio).

The current practice location address for Taiesha Raquel Black is 5460 Cleveland Ave, Columbus, OH and can be reached out via phone at 614-568-8236 and via fax at 614-392-0275.

Location: 5460 Cleveland Ave, Columbus, OH, 43231-4005
person
Provider Profile Details
NPI Number
1073134292
Provider Name
Taiesha Raquel Black
Credential
Provider Entity Type
Individual
Gender
Female
Address
5460 Cleveland Ave, Columbus, OH, 43231-4005
Phone Number
614-568-8236
Fax Number
614-392-0275
Provider Enumeration Date
04/28/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1639635899 05 OH
institution
Provider Business Practice Location Address Details
Address
5460 Cleveland Ave
City
State
Zip
43231-4005
Phone Number
614-568-8236
Fax Number
614-392-0275
person
Provider Business Mailing Address Details
Address
5460 Cleveland Ave
City
State
Zip
43231-4005
Phone Number
614-568-8236
Fax Number
614-392-0275
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CDCA.173471 (Ohio)
Definition
Definition to come...
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