Individual provider · Type 1 NPI

Kodie Lincoln McCully

Addiction (Substance Use Disorder) Counselor · Kent, OH

NPI number 1548828668 Active

Practice location

143 Gougler Ave
Kent, OH 44240-2401

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 1548828668

Kodie Lincoln McCully's National Provider Identifier is 1548828668, issued on Jun 4, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kent, OH. The record was last updated on Jun 4, 2019.