Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 178060 | OH |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) |
NPI | 1548930662 |
---|---|
Provider Name | Victoria L Coder |
First Address | Whitehall, OH 43213-3028 |
Second Address | Columbus, OH 43223-1301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2021 |
Last Update Date | 07/02/2022 |