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Individual
MR. MICHAEL A KODRICH
Active
Individual
MR. MICHAEL A KODRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1197
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000234570
ANTHEM PIN NUMBER
WV
01
—
096167
VALUE OPTIONS PIN NUMBER
WV
01
—
180073
COMPSYCH PIN NUMBER
WV
01
—
2031476
CIGNA HEALTH CARE PIN NUM
WV
01
—
7227387
AETNA PROVIDER PIN NUMBER
WV
01
—
Y288393
HEALTH PLAN PIN NUMBER
WV
Enumeration date
08/13/2006
Last updated
07/08/2007
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