Individual provider · Type 1 NPI
Justin Kyle Short, CDCA
Addiction (Substance Use Disorder) Counselor · Milford, OH
NPI number
1669826509
Active
Practice location
50 West Techne Dr. Suite B-5
Milford, OH 45150
Fax (513) 753-9968
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 150465 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1669826509
Justin Kyle Short, CDCA's National Provider Identifier is 1669826509, issued on Apr 18, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Milford, OH. The record was last updated on Apr 18, 2016.