Jacob T Theademan
Jacob T Theademan is an Addiction (Substance Use Disorder) Counselor in Cincinnati, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2023
Practice location Address checks out
1501 Madison RdCincinnati, OH 45206
Phone: (513) 354-5200
Fax: (513) 354-7115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence CDCA.183225 (OH) |
|---|
Record details
| NPI number | 1669187589 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 16, 2023 |
| Last updated in NPPES | January 16, 2023 |
| Certification date | January 15, 2023 |
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