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Individual
MAYA COGDELL
Active
Individual
MAYA COGDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.175789
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCLLL.162700
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CDCA.175789
CHEMICAL DEPENDENCY PROFESSIONALS BOARD
OH
Enumeration date
02/21/2021
Last updated
06/21/2024
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