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Individual

CODIE ALLEN TRENT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CMS

Contact information

Practice address
411 COURT ST, PORTSMOUTH, OH 45662-3932
(740) 354-6685
(740) 876-4005
Mailing address
475 GEORGE HOLLOW RD, WAVERLY, OH 45690-9060

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
09/20/2018
Last updated
07/26/2023
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