Individual provider · Type 1 NPI

Jack Waters, LCDC-III, QMHS

Addiction (Substance Use Disorder) Counselor · Piketon, OH

NPI number 1952820482 Active

Practice location

15221 State Route 772
Piketon, OH 45661

Call (740) 493-4260 Map

Mailing address

4431 Maple Grove Rd
Chillicothe, OH 45601-8890

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLCDCIII.161114 (OH)

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

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About NPI 1952820482

Jack Waters, LCDC-III, QMHS's National Provider Identifier is 1952820482, issued on Sep 15, 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 Sep 15, 2017.