Individual
CODI SCOTT DIAMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2128 KY 1418, ROCKHOLDS, KY 40759-7605
(606) 627-8608
Mailing address
2128 KY 1418, ROCKHOLDS, KY 40759-7605
(606) 627-8608
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
191174
OH
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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