Individual provider · Type 1 NPI

Jessica Jaques, CDCA

Addiction (Substance Use Disorder) Counselor · Springfield, OH

NPI number 1336948181 Active

Practice location

616 N Limestone St
Springfield, OH 45503-4175

Call (937) 505-3400 Map

Fax (937) 660-5656

Mailing address

PO Box 212
Xenia, OH 45385-0212

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.191560 (OH)

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

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About NPI 1336948181

Jessica Jaques, CDCA's National Provider Identifier is 1336948181, issued on Mar 12, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Springfield, OH. The record was last updated on Mar 12, 2025.