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NPI Code Detail

MEDICARE: ANDREA J CAHILL

MEDICARE: ANDREA J CAHILL
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) CounselorCDCA.193680OH
2106S00000XBehavior TechnicianAPS.005837OH

General Provider Information

NPI Number : 1700734886
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA J CAHILL
Provider Business Mailing Address
First Line : 101 S SUGAR ST
Second Line :
City : CELINA
State : OH
Zip : 45822-2135
Country : US
Telephone Number : 419-733-7400
Fax Number :
Provider Business Practice Location Address
First Line : 6296 EBERSTARK DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43235-5076
Country : US
Telephone Number : 419-733-7400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2026
Last Update Date : 03/17/2026

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