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

Jonathan Dewalt

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1962165795

Jonathan Dewalt is an Addiction (Substance Use Disorder) Counselor in Shelby, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2021

Practice location Address checks out

2775 State Route 39
Shelby, OH 44875-9466
Phone: (417) 747-3322
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 CDCA.178277 (OH)

Record details

NPI number1962165795
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 19, 2021
Last updated in NPPESOctober 19, 2021
Certification dateOctober 19, 2021
Mailing address2775 State Route 39, Shelby, OH 44875-9466

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