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Kodie Lincoln Mccully
Addiction (Substance Use Disorder) Counselor in Kent, Ohio
NPI 1548828668

Kodie Lincoln Mccully is an Addiction (Substance Use Disorder) Counselor based in Kent, OH and is specialized in Addiction (Substance Use Disorder). Kodie Lincoln Mccully practices in Kent, OH. The NPI Number for Kodie Lincoln Mccully is 1548828668 and holds a License No. (Ohio).

The current practice location address for Kodie Lincoln Mccully is 143 Gougler Ave, Kent, OH and can be reached out via phone at 330-412-5221.

Location: 143 Gougler Ave, Kent, OH, 44240-2401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548828668
Provider Name
Kodie Lincoln Mccully
Credential
Provider Entity Type
Individual
Gender
Male
Address
143 Gougler Ave, Kent, OH, 44240-2401
Phone Number
330-412-5221
Fax Number
Provider Enumeration Date
06/04/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
143 Gougler Ave
City
Kent
State
Ohio
Zip
44240-2401
Phone Number
330-412-5221
Fax Number
person
Provider Business Mailing Address Details
Address
143 Gougler Ave
City
Kent
State
Ohio
Zip
44240-2401
Phone Number
330-412-5221
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.
()
Definition
Definition to come...
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