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

Jake Thomas Logsdon, TCADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1174221766

Jake Thomas Logsdon, TCADC is an Addiction (Substance Use Disorder) Counselor in Campbellsville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2023.

Licensed in
KY
In the registry since
2023

Practice location Address checks out

830 W Broadway St
Campbellsville, KY 42718-2701
Phone: (866) 934-7450
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 275818 (KY)

Record details

NPI number1174221766
Entity typeIndividual (Type 1)
GenderMale
Credentials TCADC
Sole proprietorNo
NPI enumeratedFebruary 22, 2023
Last updated in NPPESFebruary 22, 2023
Certification dateFebruary 22, 2023
Mailing address4600 Montgomery Rd Ste 400, Cincinnati, OH 45212-2600

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