JUSTIN ALEX KICOS

COLUMBUS, OH
NPI1699456582
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.190708)
Enumeration Date2023-07-25
Last Update Date2024-11-25
Business Address
JUSTIN ALEX KICOS
4263 E BROAD ST
COLUMBUS, OH 43213-1217
Phone number: 614-334-6903
Mailing Address
JUSTIN ALEX KICOS
5545 WARNER RIDGE RD
COLUMBUS, OH 43081-8867
Phone number: 330-418-1401
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