Individual provider · Type 1 NPI

Kyle Poling, CDCA QMHS BA CMS BA

Addiction (Substance Use Disorder) Counselor · Columbus, OH

NPI number 1467012690 Active

Practice location

195 N Grant Ave Ste 250
Columbus, OH 43215-2855

Mailing address

434 Eastland Rd
Berea, OH 44017-1217

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA171334 (OH)

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About NPI 1467012690

Kyle Poling, CDCA QMHS BA CMS BA's National Provider Identifier is 1467012690, issued on Jun 19, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Columbus, OH. The record was last updated on Jan 8, 2020.