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Individual

HARRY COX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCDCIII

Contact information

Practice address
1991 BRYDEN RD, COLUMBUS, OH 43205-1601
(614) 252-0660
Mailing address
2100 STELLA CT, COLUMBUS, OH 43215-1011
(614) 252-0660

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
161542
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
161542
CDP BOARD
OH
Enumeration date
01/30/2019
Last updated
01/30/2019
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