Individual provider · Type 1 NPI

Jeffrey Shoup

Addiction (Substance Use Disorder) Counselor · Dayton, OH

NPI number 1932742665 Active

Practice location

1 Elizabeth Pl Ste NWB40
Dayton, OH 45417-3445

Call (937) 401-8672 Map

Fax (937) 853-8029

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 1932742665

Jeffrey Shoup's National Provider Identifier is 1932742665, issued on Oct 25, 2019. 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 Oct 25, 2019.