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

Jarrad Michael Thacker, CDCA173952

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1457940736

Jarrad Michael Thacker, CDCA173952 is an Addiction (Substance Use Disorder) Counselor in Cincinnati, Ohio. Licensed in Ohio. Registered with an NPI since 2021.

Licensed in
OH
In the registry since
2021

Practice location Address checks out

4968 Glenway Ave
Cincinnati, OH 45238-3902
Phone: (513) 853-6575
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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.173952 (OH)

Record details

NPI number1457940736
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCA173952
Sole proprietorNo
NPI enumeratedJanuary 12, 2021
Last updated in NPPESJanuary 12, 2021
Certification dateJanuary 12, 2021

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