Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grant Charles Kirkwood, CDCA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1639610595

Grant Charles Kirkwood, CDCA is an Addiction (Substance Use Disorder) Counselor in Andover, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2017
Specialties on file
3

Practice location Address checks out

158 W Main St
Andover, OH 44003-9318
Phone: (216) 353-4723
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 000120 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 165555 (OH)
Behavior Technician Taxonomy 106S00000X (OH)

Record details

NPI number1639610595
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCA
Sole proprietorYes
NPI enumeratedMarch 13, 2017
Last updated in NPPESDecember 5, 2024
Certification dateDecember 5, 2024
Mailing address158 W Main St, Andover, OH 44003-9318

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