Individual
MR. CODY R DEARING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, CDCA
Contact information
Practice address
6202 TRUST DR, HOLLAND, OH 43528-8425
(419) 824-8462
Mailing address
5463 MCGREGOR LN, SYLVANIA, OH 43560-2418
(419) 262-5297
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.172916
OH
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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