Individual
CODY ALLEN MITCHEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
502 MCCARTY LN STE 1, JACKSON, OH 45640-7025
(740) 577-9003
(740) 577-9184
Mailing address
502 MCCARTY LN STE 1, JACKSON, OH 45640-7025
(740) 577-9003
(740) 577-9184
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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