person
Jacob Michael Shelley, CDCA
Addiction (Substance Use Disorder) Counselor in Xenia, Ohio
NPI 1265132211

Jacob Michael Shelley is an Addiction (Substance Use Disorder) Counselor based in Xenia, OH and is specialized in Addiction (Substance Use Disorder). Jacob Michael Shelley practices in Xenia, OH and has the professional credentials of CDCA. The NPI Number for Jacob Michael Shelley is 1265132211 and holds a License No. CDCA.183560 (Ohio).

The current practice location address for Jacob Michael Shelley is 2960 W Enon Rd, Xenia, OH and can be reached out via phone at 937-272-4925.

Location: 2960 W Enon Rd, Xenia, OH, 45385-8548
person
Provider Profile Details
NPI Number
1265132211
Provider Name
Jacob Michael Shelley
Credential
CDCA
Provider Entity Type
Individual
Gender
Male
Address
2960 W Enon Rd, Xenia, OH, 45385-8548
Phone Number
937-272-4925
Fax Number
Provider Enumeration Date
03/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2960 W Enon Rd
City
State
Zip
45385-8548
Phone Number
937-272-4925
Fax Number
person
Provider Business Mailing Address Details
Address
2960 W Enon Rd
City
State
Zip
45385-8548
Phone Number
937-272-4925
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CDCA.183560 (Ohio)
Definition
Definition to come...
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