Jeffery Stoudermire, CDCA
Jeffery Stoudermire, CDCA is an Addiction (Substance Use Disorder) Counselor in Dayton, Ohio. Licensed in Ohio. Registered with an NPI since 2019.
- Licensed in
- OH
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
4977 Northcutt PlDayton, OH 45414-3839
Phone: (937) 387-6395
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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.177431 (OH) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence CDCA.171501 (OH) |
Record details
| NPI number | 1518505304 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CDCA |
| Sole proprietor | No |
| NPI enumerated | December 12, 2019 |
| Last updated in NPPES | July 7, 2021 |
| Certification date | July 7, 2021 |
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Edward Summers, CDCA
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