Grant Charles Kirkwood, CDCA

NPI #1639610595 in Andover, Ohio

Provider Information

NPI Number: 1639610595
Entity Type: Individual
Name: Grant Charles Kirkwood, CDCA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Credential: CDCA
Enumeration Date: Mar 13, 2017
Last Updated: Dec 5, 2024

Practice Location

Address: 158 W MAIN ST
City: Andover
State: Ohio
ZIP Code: 44003-9318
Phone: (216) 353-4723

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Behavior Technician	106S00000X
Peer Specialist	175T00000X	Primary

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