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Nicholas A Spradlin
Peer Specialist in Portsmouth, Ohio
NPI 1093391906

Nicholas A Spradlin is a Peer Specialist based in Cincinnati, OH. Nicholas A Spradlin practices in Portsmouth, OH. The NPI Number for Nicholas A Spradlin is 1093391906 and holds a License No. CDCA.181097 (Ohio).

The current practice location address for Nicholas A Spradlin is 1907 11Th St, Portsmouth, OH and can be reached out via phone at 513-941-4999 and via fax at 513-694-0168.

Location: 1907 11Th St, Portsmouth, OH, 45247-7958
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093391906
Provider Name
Nicholas A Spradlin
Credential
Provider Entity Type
Individual
Gender
Male
Address
1907 11Th St, Portsmouth, OH, 45247-7958
Phone Number
513-941-4999
Fax Number
513-694-0168
Provider Enumeration Date
03/22/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0495926 05 OH
institution
Provider Business Practice Location Address Details
Address
1907 11Th St
City
Portsmouth
State
Ohio
Zip
45662-4531
Phone Number
513-941-4999
Fax Number
513-694-0168
person
Provider Business Mailing Address Details
Address
1907 11Th St
City
Portsmouth
State
Ohio
Zip
45662-4531
Phone Number
513-941-4999
Fax Number
513-694-0168
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
QMHS.HSGED (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
CDCA.185186 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
CDCA.181097 (Ohio)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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