Individual
CODY BICKNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2347 VINE ST, CINCINNATI, OH 45219-1745
(513) 621-1117
Mailing address
2347 VINE ST, CINCINNATI, OH 45219-1745
(513) 621-1117
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/10/2018
Last updated
01/03/2020
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