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

Justin Alex Kicos

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1699456582

Justin Alex Kicos is an Addiction (Substance Use Disorder) Counselor in Columbus, Ohio. Licensed in Ohio. Registered with an NPI since 2023.

Licensed in
OH
In the registry since
2023

Practice location Address checks out

4263 E Broad St
Columbus, OH 43213-1217
Phone: (614) 334-6903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDCA.190708 (OH)

Record details

NPI number1699456582
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 25, 2023
Last updated in NPPESNovember 25, 2024
Certification dateNovember 25, 2024

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