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Mr. Tulley J Wahren, PC
Mental Health Counselor in Beavercreek, Ohio
NPI 1346617545

Tulley J Wahren is a Mental Health Counselor based in Cleveland, OH and is specialized in Mental Health. Tulley J Wahren practices in Beavercreek, OH and has the professional credentials of PC. The NPI Number for Tulley J Wahren is 1346617545 and holds a License No. C1500056 (Ohio).

The current practice location address for Tulley J Wahren is 1411 N Fairfield Rd, Beavercreek, OH and can be reached out via phone at 937-426-2686 and via fax at 937-426-6230.

Location: 1411 N Fairfield Rd, Beavercreek, OH, 44193-0039
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Provider Profile Details
NPI Number
1346617545
Provider Name
Tulley J Wahren
Credential
PC
Provider Entity Type
Individual
Gender
Male
Address
1411 N Fairfield Rd, Beavercreek, OH, 44193-0039
Phone Number
937-426-2686
Fax Number
937-426-6230
Provider Enumeration Date
08/24/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0254708 05 OH
institution
Provider Business Practice Location Address Details
Address
1411 N Fairfield Rd
City
State
Zip
45432-2658
Phone Number
937-426-2686
Fax Number
937-426-6230
person
Provider Business Mailing Address Details
Address
1411 N Fairfield Rd
City
State
Zip
45432-2658
Phone Number
937-426-2686
Fax Number
937-426-6230
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
E.1700409-SUPV (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C1500056 (Ohio)
Definition
Definition to come...
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