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NPI Code Detail

MEDICARE: JOANNA TALBOT

MEDICARE: JOANNA TALBOT
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.171801OH
2251S00000XCommunity/Behavioral Health Agency
3171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1376047878
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNA TALBOT
Provider Business Mailing Address
First Line : 1801 WATERMARK DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43215-7088
Country : US
Telephone Number : 614-487-8758
Fax Number :
Provider Business Practice Location Address
First Line : 59 GRANT ST
Second Line :
City : NEWARK
State : OH
Zip : 43055-3939
Country : US
Telephone Number : 403-497-5117
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2018
Last Update Date : 02/16/2024

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Directions to “ JOANNA TALBOT ” Practice Location

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