Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CODY ALLEN MITCHEM
Active Sole ProprietorCODY ALLEN MITCHEM is a Addiction (Substance Use Disorder) Psychologist healthcare provider located in JACKSON, Ohio. NPI 1356129332 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Psychologist · JACKSON, OH
Registration Details
- NPI Number
- 1356129332
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2023 (2.9355396333013 yrs)
- Last Updated
- Sep 20, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
502 MCCARTY LN STE 1JACKSON, OH, 456407025Browse OH providers · Browse ZIP 45640
- Phone
- 7405779003
- Fax
- 7405779184
- Primary Specialty
-
Addiction (Substance Use Disorder) Psychologist
103TA0400X
- Additional Specialty
- Addiction (Substance Use Disorder) Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.