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NPI Code Detail

MEDICARE: ASHLEY DELAUDER

MEDICARE: ASHLEY DELAUDER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.180644OH
2171M00000XCase Manager/Care Coordinator
3101YM0800XMental Health CounselorC.2507315-TRNEOH

General Provider Information

NPI Number : 1407538325
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY DELAUDER
Provider Business Mailing Address
First Line : 1301 N HIGH ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43201-2460
Country : US
Telephone Number : 614-299-6600
Fax Number : 614-299-9007
Provider Business Practice Location Address
First Line : 1301 N HIGH ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43201-2460
Country : US
Telephone Number : 614-299-6600
Fax Number : 614-299-9007
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2023
Last Update Date : 02/03/2026

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Directions to “ ASHLEY DELAUDER ” Practice Location

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