Individual provider · Type 1 NPI
Jacob T. Theademan
Addiction (Substance Use Disorder) Counselor · Cincinnati, OH
NPI number
1669187589
Active
Practice location
1501 Madison Rd
Cincinnati, OH 45206
Fax (513) 354-7115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CDCA.183225 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1669187589
Jacob T. Theademan's National Provider Identifier is 1669187589, issued on Jan 16, 2023. 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 16, 2023.