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

Jeremy Bruce Edmonson, CDCA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1811599145

Jeremy Bruce Edmonson, CDCA is an Addiction (Substance Use Disorder) Counselor in Dayton, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2020
Specialties on file
2

Practice location Address checks out

4977 Northcutt Pl
Dayton, OH 45414-3839
Phone: (937) 387-6395
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 177351 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 174194 (OH)

Record details

NPI number1811599145
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCA
Sole proprietorYes
NPI enumeratedNovember 11, 2020
Last updated in NPPESFebruary 15, 2022
Certification dateFebruary 15, 2022

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