Individual provider · Type 1 NPI

Jacob M. Soudah

Addiction (Substance Use Disorder) Counselor · Columbus, OH

NPI number 1063285658 Active

Practice location

246 E Campus View Blvd
Columbus, OH 43235-4634

Call (614) 505-3126 Map

Mailing address

2875 Olentangy River Rd Apt 610
Columbus, OH 43202-3514

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X186292 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1063285658

Jacob M. Soudah's National Provider Identifier is 1063285658, issued on Nov 6, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Columbus, OH. The record was last updated on Nov 6, 2023.