Individual provider · Type 1 NPI

Joshua Thacker, CDCA, QMHS

Addiction (Substance Use Disorder) Counselor · Brookfield, OH

NPI number 1710585369 Active

Practice location

7529 Warren Sharon Rd
Brookfield, OH 44403-9796

Call (740) 415-1138 Map

Mailing address

401 E Mcmillan St
Cincinnati, OH 45206-1922

Other practice locations

  • 411 Court St, Portsmouth, OH 45662-3932 · (740) 354-8004
  • 401 E Mcmillan St, Cincinnati, OH 45206-1922 · (740) 222-8410

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X174628 (OH)
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X173070 (OH)

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

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About NPI 1710585369

Joshua Thacker, CDCA, QMHS's National Provider Identifier is 1710585369, issued on Oct 15, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Brookfield, OH. The record was last updated on Oct 23, 2024.