Individual
JAMES CODY CANTERBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
126 E 2ND ST, CHILLICOTHE, OH 45601-2593
(740) 851-5309
Mailing address
126 E 2ND ST, CHILLICOTHE, OH 45601-2593
(740) 851-5309
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
151775
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YA0400X
—
OH
Enumeration date
10/27/2017
Last updated
10/27/2017
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