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Teresa Lynett Lauderdale, LICDC
Addiction (Substance Use Disorder) Counselor in Columbus, Ohio
NPI 1588281190

Teresa Lynett Lauderdale is an Addiction (Substance Use Disorder) Counselor based in Columbus, OH and is specialized in Addiction (Substance Use Disorder). Teresa Lynett Lauderdale practices in Columbus, OH and has the professional credentials of LICDC. The NPI Number for Teresa Lynett Lauderdale is 1588281190 and holds a License No. (Ohio).

The current practice location address for Teresa Lynett Lauderdale is 700 Bryden Rd Ste 128, Columbus, OH and can be reached out via phone at 614-462-0236.

Location: 700 Bryden Rd Ste 128, Columbus, OH, 43207-3022
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588281190
Provider Name
Teresa Lynett Lauderdale
Credential
LICDC
Provider Entity Type
Individual
Gender
Female
Address
700 Bryden Rd Ste 128, Columbus, OH, 43207-3022
Phone Number
614-462-0236
Fax Number
Provider Enumeration Date
06/30/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
700 Bryden Rd Ste 128
City
Columbus
State
Ohio
Zip
43215-4839
Phone Number
614-462-0236
Fax Number
person
Provider Business Mailing Address Details
Address
700 Bryden Rd Ste 128
City
Columbus
State
Ohio
Zip
43215-4839
Phone Number
614-462-0236
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
LICDC.162303 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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