Kodie Lincoln Mccully

NPI #1548828668 in Kent, Ohio

Provider Information

NPI Number: 1548828668
Entity Type: Individual
Name: Kodie Lincoln Mccully
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Jun 4, 2019
Last Updated: Jun 4, 2019

Practice Location

Address: 143 GOUGLER AVE
City: Kent
State: Ohio
ZIP Code: 44240-2401
Phone: (330) 412-5221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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