Tom Colic, CDCA Valid NPI

Individual provider · Addiction (Substance Use Disorder) Counselor · Lodi, OH

NPI

1639639719

Type

Individual (Type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YA0400X

License number

169850 (OH)

Sex

Male

Sole proprietor

Yes

Enumerated

2019-03-23

Last updated

2019-03-23