Individual provider · Type 1 NPI

Jackie Lee Stewart, CMS

Addiction (Substance Use Disorder) Counselor · Waverly, OH

NPI number 1942796552 Active

Practice location

14574 US Highway 23
Waverly, OH 45690-9373

Mailing address

1413 Washington Blvd S
West Portsmouth, OH 45663-5893

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 1942796552

Jackie Lee Stewart, CMS's National Provider Identifier is 1942796552, issued on Jul 6, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waverly, OH. The record was last updated on Jul 6, 2018.