KODIE LINCOLN MCCULLY

KENT, OH
NPI1548828668
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-06-04
Last Update Date2019-06-04
Business Address
KODIE LINCOLN MCCULLY
143 GOUGLER AVE
KENT, OH 44240-2401
Phone number: 330-412-5221
Mailing Address
KODIE LINCOLN MCCULLY
143 GOUGLER AVE
KENT, OH 44240-2401
Phone number: