Individual provider · Type 1 NPI

Jeremy Bruce Edmonson, CDCA

Addiction (Substance Use Disorder) Counselor · Dayton, OH

NPI number 1811599145 Active

Practice location

4977 Northcutt Pl
Dayton, OH 45414-3839

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X174194 (OH)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X177351 (OH)

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

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About NPI 1811599145

Jeremy Bruce Edmonson, CDCA's National Provider Identifier is 1811599145, issued on Nov 11, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dayton, OH. The record was last updated on Feb 15, 2022.