Kevin Michael Duffy, CDCA
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Brookpark, OH
NPI 1508580952 · NPPES record last updated Sep 29, 2022
Key facts
- NPI
- 1508580952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 181451 (OH)
- Practice address
- 6511 Sandfield Dr
Brookpark, OH 44142-3755 - Phone
- (216) 316-6248
- NPI assigned
- Sep 29, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 181451 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 181451 | OH | Yes |
Addresses
Primary practice location
6511 Sandfield Dr
Brookpark, OH 44142-3755
Mailing address
6511 Sandfield Dr
Brookpark, OH 44142-3755
Phone (216) 316-6248
Other providers in Brookpark, OH
- Devoted Family Home Care LLC
- Devoted Family Home Health LLC
- Devoted Family Transportation Company LLC
- Rhiannon Rosemary Dickson
- David John Donofrio
- Tiffany Anne Duttko
- East Park Operations LLC
- East Park Operations LLC
- East Park Operations LLC
- East Park Retirement Community Inc
All providers in Brookpark, OH · Addiction (Substance Use Disorder) Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.