Individual provider · Type 1 NPI

Justin Lavery, CDCA

Addiction (Substance Use Disorder) Counselor · Marion, OH

NPI number 1295183275 Active

Practice location

320 Executive Dr
Marion, OH 43302-6310

Call (740) 387-5210 Map

Fax (740) 383-3472

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X150878 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1295183275

Justin Lavery, CDCA's National Provider Identifier is 1295183275, issued on May 31, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Marion, OH. The record was last updated on May 31, 2016.