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Mrs. Audrey Jean Tate, LPC,AT,CDCA
Addiction (Substance Use Disorder) Counselor in Elyria, Ohio
NPI 1508225459

Audrey Jean Tate is an Addiction (Substance Use Disorder) Counselor based in Lakewood, OH and is specialized in Addiction (Substance Use Disorder). Audrey Jean Tate practices in Elyria, OH and has the professional credentials of LPC,AT,CDCA. The NPI Number for Audrey Jean Tate is 1508225459 and holds a License No. C 1300788 (Ohio).

The current practice location address for Audrey Jean Tate is 347 Midway Blvd, Elyria, OH and can be reached out via phone at 440-324-5701 and via fax at 440-324-9978.

Location: 347 Midway Blvd, Elyria, OH, 44107-2206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508225459
Provider Name
Audrey Jean Tate
Credential
LPC,AT,CDCA
Provider Entity Type
Individual
Gender
Female
Address
347 Midway Blvd, Elyria, OH, 44107-2206
Phone Number
440-324-5701
Fax Number
440-324-9978
Provider Enumeration Date
02/21/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
347 Midway Blvd
City
Elyria
State
Ohio
Zip
44035-9006
Phone Number
440-324-5701
Fax Number
440-324-9978
person
Provider Business Mailing Address Details
Address
347 Midway Blvd
City
Elyria
State
Ohio
Zip
44035-9006
Phone Number
440-324-5701
Fax Number
440-324-9978
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
151783 (Ohio)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
C 1300788 (Ohio)
Definition
Definition to come...
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