Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Waters, LCDC-III, QMHS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1952820482

Jack Waters, LCDC-III, QMHS is an Addiction (Substance Use Disorder) Counselor in Piketon, Ohio. Licensed in Ohio. Registered with an NPI since 2017.

Licensed in
OH
In the registry since
2017

Practice location Address checks out

15221 State Route 772
Piketon, OH 45661
Phone: (740) 493-4260
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LCDCIII.161114 (OH)

Record details

NPI number1952820482
Entity typeIndividual (Type 1)
GenderMale
Credentials LCDC-III , QMHS
Sole proprietorNo
NPI enumeratedSeptember 15, 2017
Last updated in NPPESSeptember 15, 2017

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