Individual
HOMER MCDUFFIE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDCLL
Contact information
Practice address
547 E 11TH AVE, COLUMBUS, OH 43211-2603
(614) 224-4506
(614) 291-0118
Mailing address
547 E 11TH AVE, COLUMBUS, OH 43211-2603
(614) 224-4506
(614) 291-0118
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCLL161678
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17700474009
—
OH
Enumeration date
01/28/2019
Last updated
11/23/2022
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