Individual provider · Type 1 NPI

Jarrad Michael Thacker, CDCA.173952

Addiction (Substance Use Disorder) Counselor · Cincinnati, OH

NPI number 1457940736 Active

Practice location

4968 Glenway Ave
Cincinnati, OH 45238-3902

Call (513) 853-6575 Map

Mailing address

1494 Beacon St Apt 3
Cincinnati, OH 45230-2857

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.173952 (OH)

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

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About NPI 1457940736

Jarrad Michael Thacker, CDCA.173952's National Provider Identifier is 1457940736, issued on Jan 12, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cincinnati, OH. The record was last updated on Jan 12, 2021.