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

Jerry Edward Thomas, LICDC-CS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1306362330

Jerry Edward Thomas, LICDC-CS is an Addiction (Substance Use Disorder) Counselor in Chesapeake, Ohio. Licensed in Ohio. Registered with an NPI since 2017.

Licensed in
OH
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

11470 County Road 1
Chesapeake, OH 45619-7010
Phone: (740) 451-0074
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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 LICDC.161973 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCDCIII.161573 (OH)
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence LICDC.161973 (OH)

Record details

NPI number1306362330
Entity typeIndividual (Type 1)
GenderMale
Credentials LICDC-CS
Sole proprietorNo
NPI enumeratedAugust 22, 2017
Last updated in NPPESFebruary 21, 2024
Certification dateFebruary 21, 2024
Mailing address2432 S 4th St, Ironton, OH 45638-2609

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