CODY A BOLIN

ATHENS, OH
NPI1548762255
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  163273)
Enumeration Date2018-03-08
Last Update Date2018-06-16
Business Address
CODY A BOLIN CDCA
10050 BASSETT RD
ATHENS, OH 45701-3626
Phone number: 740-592-6724
Mailing Address
CODY A BOLIN CDCA
224 COLUMBUS RD
ATHENS, OH 45701-1334
Phone number: 740-594-8108
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