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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1881190585

Jimmy Scott Vandyke, LICDC is an Addiction (Substance Use Disorder) Counselor in Piqua, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2018
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Practice location Address checks out

1830 W High St
Piqua, OH 45356-9399
Phone: (513) 834-7063
Fax: (513) 873-1567
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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.161792 (OH)

Record details

NPI number1881190585
Entity typeIndividual (Type 1)
GenderMale
Credentials LICDC
Sole proprietorYes
NPI enumeratedApril 2, 2018
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024

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