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1760218200
CHAD TISH
COLUMBUS, OH
NPI
1760218200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.189716)
Enumeration Date
2024-09-11
Last Update Date
2024-09-11
Business Address
CHAD TISH
3121 W BROAD ST
COLUMBUS, OH 43204-1306
Phone number: 614-869-2002
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Mailing Address
CHAD TISH
3121 W BROAD ST
COLUMBUS, OH 43204-1306
Phone number: 740-485-2326
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