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Mr. Justin Kyle Short, CDCA
Addiction (Substance Use Disorder) Counselor in Milford, Ohio
NPI 1669826509

Justin Kyle Short is an Addiction (Substance Use Disorder) Counselor based in Milford, OH and is specialized in Addiction (Substance Use Disorder). Justin Kyle Short practices in Milford, OH and has the professional credentials of CDCA. The NPI Number for Justin Kyle Short is 1669826509 and holds a License No. 150465 (Ohio).

The current practice location address for Justin Kyle Short is 50 West Techne Dr. Suite B-5, Milford, OH and can be reached out via phone at 513-753-9964 and via fax at 513-753-9968.

Location: 50 West Techne Dr. Suite B-5, Milford, OH, 45150
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669826509
Provider Name
Justin Kyle Short
Credential
CDCA
Provider Entity Type
Individual
Gender
Male
Address
50 West Techne Dr. Suite B-5, Milford, OH, 45150
Phone Number
513-753-9964
Fax Number
513-753-9968
Provider Enumeration Date
04/18/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
50 West Techne Dr. Suite B-5
City
Milford
State
Ohio
Zip
45150
Phone Number
513-753-9964
Fax Number
513-753-9968
person
Provider Business Mailing Address Details
Address
50 West Techne Dr. Suite B-5
City
Milford
State
Ohio
Zip
45150
Phone Number
513-753-9964
Fax Number
513-753-9968
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
150465 (Ohio)
Definition
Definition to come...
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