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

Jordan Rebecca Shavers, BA, CDCA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1184434557

Jordan Rebecca Shavers, BA, CDCA is an Addiction (Substance Use Disorder) Counselor in Fairborn, Ohio. Licensed in Ohio. Registered with an NPI since 2025.

Licensed in
OH
In the registry since
2025
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

119 E Dayton Yellow Springs Rd
Fairborn, OH 45324-3446
Phone: (937) 405-1743
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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 188587 (OH)

Record details

NPI number1184434557
Entity typeIndividual (Type 1)
GenderFemale
Credentials BA , CDCA
Sole proprietorNo
NPI enumeratedJanuary 8, 2025
Last updated in NPPESJanuary 8, 2025
Certification dateJanuary 8, 2025

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