Tyea Miller-Ruble, LCDC III
Counselor, Addiction (Substance Use Disorder) in Columbus, OH. Individual provider (NPI-1).
NPI number1982259248
StatusActive
Last updated in NPPESFeb 9, 2021
Details
- NPI
- 1982259248
- Entity type
- Individual (NPI-1)
- Name
- Tyea Miller-Ruble
- Credential
- LCDC III
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 5, 2019
- Certification date
- Feb 9, 2021
- Last updated
- Feb 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 162176 | OH | Yes |
Practice location
1791 Alum Creek DrColumbus, OH 43207-1708
Phone 614-445-8131
Mailing address
1791 Alum Creek DrColumbus, OH 43207-1708
Phone 614-445-8131
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