Mitchem, Cody Allen

Mitchem, Cody Allen is an sole proprietor health care provider with primary practice located at 502 Mccarty Ln Ste 1 , Jackson OH 45640-7025. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Mitchem, Cody Allen can be contacted via phone (740) 577-9003.

Contact Information

Primary practice address
502 Mccarty Ln Ste 1 Jackson OH 45640-7025
Phone: (740) 577-9003
Fax: (740) 577-9184
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X

Profile Details

NPI number 1356129332
LBN Legal business name Mitchem, Cody Allen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2023
Last updated Sep 20th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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