Provider Demographics
NPI:1225763089
Name:CALHOUN, TESSA MARIE-FRANCIS (CDCA)
Entity Type:Individual
Prefix:
First Name:TESSA
Middle Name:MARIE-FRANCIS
Last Name:CALHOUN
Suffix:
Gender:F
Credentials:CDCA
Other - Prefix:
Other - First Name:TESSA
Other - Middle Name:MARIE-FRANCIS
Other - Last Name:RYMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3225 SULLIVANT AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43204-1837
Mailing Address - Country:US
Mailing Address - Phone:614-655-8956
Mailing Address - Fax:614-748-0569
Practice Address - Street 1:3225 SULLIVANT AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43204-1837
Practice Address - Country:US
Practice Address - Phone:614-655-8956
Practice Address - Fax:614-748-0569
Is Sole Proprietor?:No
Enumeration Date:2022-07-17
Last Update Date:2022-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCDCA.181469101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)