Cody Shy, CDCA, PRS

NPI #1932836954 in Mcdermott, Ohio

Provider Information

NPI Number: 1932836954
Entity Type: Individual
Name: Cody Shy, CDCA, PRS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: CDCA, PRS
Enumeration Date: Aug 2, 2022
Last Updated: Jul 23, 2024

Practice Location

Address: 9620 CAREYS RUN POND CREEK ROAD
City: Mcdermott
State: Ohio
ZIP Code: 45652
Phone: (740) 858-6683

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Peer Specialist	175T00000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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