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NPI Code Detail

MEDICARE: KALEE MCMINN CDCA

MEDICARE: KALEE MCMINN CDCA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor182993OH

General Provider Information

NPI Number : 1376240192
Entity Type Code : Individual
Provider Name (Legal Business Name) : KALEE MCMINN CDCA
Provider Business Mailing Address
First Line : 1662 MERILINE AVE
Second Line :
City : OBETZ
State : OH
Zip : 43207-4463
Country : US
Telephone Number : 614-972-9724
Fax Number : 614-573-7131
Provider Business Practice Location Address
First Line : 5957 CLEVELAND AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-2210
Country : US
Telephone Number : 614-600-2979
Fax Number : 614-573-7131
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2023
Last Update Date : 02/13/2023

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Directions to “ KALEE MCMINN CDCA” Practice Location

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