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Thomas Teague JR.
Addiction (Substance Use Disorder) Counselor in Columbus, Ohio
NPI 1184086720

Thomas Teague JR. is an Addiction (Substance Use Disorder) Counselor based in Columbus, OH and is specialized in Addiction (Substance Use Disorder). Thomas Teague JR. practices in Columbus, OH. The NPI Number for Thomas Teague JR. is 1184086720 and holds a License No. ICDC.965668-CS (Ohio).

The current practice location address for Thomas Teague JR. is 1515 E Broad St, Columbus, OH and can be reached out via phone at 614-251-7723.

Location: 1515 E Broad St, Columbus, OH, 43205-1550
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Provider Profile Details
NPI Number
1184086720
Provider Name
Thomas Teague JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1515 E Broad St, Columbus, OH, 43205-1550
Phone Number
614-251-7723
Fax Number
Provider Enumeration Date
03/23/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ICDC.965668-CS 01 OH LICENSED INDEPENDENT CHEMICAL DEPENDENCY COUNSELOR CLINICAL SUPERVISOR
institution
Provider Business Practice Location Address Details
Address
1515 E Broad St
City
State
Zip
43205-1550
Phone Number
614-251-7723
Fax Number
person
Provider Business Mailing Address Details
Address
1515 E Broad St
City
State
Zip
43205-1550
Phone Number
614-251-7723
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
ICDC.965668-CS (Ohio)
Definition
Definition to come...
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