Individual provider · Type 1 NPI
Lydia R. Jenkins, CDCA
Addiction (Substance Use Disorder) Counselor · Piketon, OH
NPI number
1811409899
Active
Practice location
15221 St. Rt. 124
Piketon, OH 45661
Mailing address
3509 State Route 522
Wheelersburg, OH 45694-8542
Other practice locations
- 4578 Gallia Pike, Franklin Furnace, OH 45629 · (740) 354-6685
- 4578 Gallia Pike, Franklin Furnace, OH 45629 · (740) 354-6685
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | QMHS (OH) |
| Case Manager/Care Coordinator | 171M00000X | CMS (OH) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CDCA.167760 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1811409899
Lydia R. Jenkins, CDCA's National Provider Identifier is 1811409899, issued on Oct 30, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Piketon, OH. The record was last updated on Aug 14, 2019.