Individual provider · NPI-1

Timothy Paul Alford, LICDC, CDCA

Counselor, Addiction (Substance Use Disorder) · Mason, OH

NPI number1700491982
StatusActive
Last updated in NPPESJul 28, 2021

Details

NPI
1700491982
Entity type
Individual (NPI-1)
Name
Timothy Paul Alford
Credential
LICDC, CDCA
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 14, 2020
Certification date
Jul 28, 2021
Last updated
Jul 28, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)LICDC.162183OHYes
101YA0400X Counselor, Addiction (Substance Use Disorder)CDCA.175980OH
171M00000X Case Manager/Care Coordinator––

Practice location

4483 Us North 42
Mason, OH 45040-1934

Phone 513-834-7063

Mailing address

615 Elsinore Pl Ste 200
Cincinnati, OH 45202-1457

Phone 513-834-7063

Other practice locations

515 Dayton St
Hamilton, OH 45011-3455

Phone 513-868-7654 · Fax 513-737-0026

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