Individual
CODY ALLEN GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
310 MORTON ST, JACKSON, OH 45640-1028
(740) 645-7549
Mailing address
310 MORTON ST, JACKSON, OH 45640-1028
(740) 645-7549
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
195332
OH
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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