Individual provider · Type 1 NPI

Timothy Kyle Stacy, CDCA

Addiction (Substance Use Disorder) Counselor · Chillicothe, OH

NPI number 1710540422 Active

Practice location

46 E Water St
Chillicothe, OH 45601-2544

Mailing address

340 Western Ave
Chillicothe, OH 45601-2347

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X169687 (OH)

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

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About NPI 1710540422

Timothy Kyle Stacy, CDCA's National Provider Identifier is 1710540422, issued on Apr 18, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Chillicothe, OH. The record was last updated on Apr 18, 2019.