Individual provider · Type 1 NPI
Justin Alex Kicos
Addiction (Substance Use Disorder) Counselor · Columbus, OH
NPI number
1699456582
Active
Practice location
4263 E Broad St
Columbus, OH 43213-1217
Mailing address
5545 Warner Ridge Rd
Columbus, OH 43081-8867
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CDCA.190708 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1699456582
Justin Alex Kicos's National Provider Identifier is 1699456582, issued on Jul 25, 2023. 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 Nov 25, 2024.