Individual provider · Type 1 NPI

Jacob Jeremiah Gray

Addiction (Substance Use Disorder) Counselor · Hamilton, OH

NPI number 1710477609 Active

Practice location

621 S Erie Hwy
Hamilton, OH 45011-4315

Call (513) 795-7557 Map

Mailing address

2636 Cincinnati Dayton Rd
Middletown, OH 45044-8908

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1710477609

Jacob Jeremiah Gray's National Provider Identifier is 1710477609, issued on May 16, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hamilton, OH. The record was last updated on May 16, 2018.