Ede Ajah

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Whitehall, OH

NPI 1730907304 · NPPES record last updated Oct 1, 2024

Key facts

NPI
1730907304
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
4000 E Main St
Whitehall, OH 43213-3593
Phone
(614) 334-6903
NPI assigned
Oct 1, 2024
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

4000 E Main St
Whitehall, OH 43213-3593

Mailing address

4000 E Main St
Whitehall, OH 43213-3593
Phone (614) 334-6903

Other providers in Whitehall, OH

All providers in Whitehall, OH · Addiction (Substance Use Disorder) Counselor in Ohio

Sources for this page

Verify at the official NPI Registry.