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NPI Code Detail

MEDICARE: TAMARA L FERRELL CCDCI

MEDICARE: TAMARA L FERRELL CCDCI
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) Counselor011172OH

General Provider Information

NPI Number : 1114107091
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMARA L FERRELL CCDCI
Provider Business Mailing Address
First Line : 1791 ALUM CREEK DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-1708
Country : US
Telephone Number : 614-445-8131
Fax Number : 614-445-7808
Provider Business Practice Location Address
First Line : 1791 ALUM CREEK DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-1708
Country : US
Telephone Number : 614-445-8131
Fax Number : 614-445-7808
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2007
Last Update Date : 10/19/2016

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Directions to “ TAMARA L FERRELL CCDCI” Practice Location

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