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Individual
KACEY DECOT
Active
Individual
KACEY DECOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA II
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
171381
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
175617
OH
101YM0800X
Mental Health Counselor
QMHS
—
171M00000X
Case Manager/Care Coordinator
CMS
—
Other
Enumeration date
04/13/2019
Last updated
10/03/2023
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