Individual provider · Type 1 NPI

Kyle Luckie

Addiction (Substance Use Disorder) Counselor · Coventry Township, OH

NPI number 1417696295 Active

Practice location

3445 S Main St
Coventry Township, OH 44319-3028

Call (330) 644-4095 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1417696295

Kyle Luckie's National Provider Identifier is 1417696295, issued on Jun 1, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Coventry Township, OH. The record was last updated on Jun 1, 2022.