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Timothy Byron Maceyko, LCDCII
Peer Specialist in Marion, Ohio
NPI 1154779783

Timothy Byron Maceyko is a Peer Specialist based in Marion, OH. Timothy Byron Maceyko practices in Marion, OH and has the professional credentials of LCDCII. The NPI Number for Timothy Byron Maceyko is 1154779783 and holds a License No. LCDCII.161582 (Ohio).

The current practice location address for Timothy Byron Maceyko is 206 S Prospect St, Marion, OH and can be reached out via phone at 740-244-8850.

Location: 206 S Prospect St, Marion, OH, 43302-1736
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154779783
Provider Name
Timothy Byron Maceyko
Credential
LCDCII
Provider Entity Type
Individual
Gender
Male
Address
206 S Prospect St, Marion, OH, 43302-1736
Phone Number
740-244-8850
Fax Number
Provider Enumeration Date
05/24/2016
Last Update Date
06/15/2024
institution
Provider Business Practice Location Address Details
Address
206 S Prospect St
City
Marion
State
Ohio
Zip
43302-3922
Phone Number
740-244-8850
Fax Number
person
Provider Business Mailing Address Details
Address
206 S Prospect St
City
Marion
State
Ohio
Zip
43302-3922
Phone Number
740-244-8850
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
(Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
LCDCII.161582 (Ohio)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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