Individual
MR. RICHARD TRENT CODD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.S.
Contact information
Practice address
1085 TUNNEL RD STE 7A, ASHEVILLE, NC 28805-2039
(828) 350-1177
(828) 350-1188
Mailing address
1085 TUNNEL RD STE 7A, ASHEVILLE, NC 28805-2039
(828) 350-1177
(828) 350-1188
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
911
NC
101YP2500X
Professional Counselor
Primary
3745
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12929
NC BC/BS PROVIDER NUMBER
NC
Enumeration date
05/18/2006
Last updated
01/21/2019
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