person
James Sample, CDCA
Addiction (Substance Use Disorder) Counselor in Dover, Ohio
NPI 1396295168

James Sample is an Addiction (Substance Use Disorder) Counselor based in Dover, OH and is specialized in Addiction (Substance Use Disorder). James Sample practices in Dover, OH and has the professional credentials of CDCA. The NPI Number for James Sample is 1396295168 and holds a License No. CDCA.161142 (Ohio).

The current practice location address for James Sample is 897 E Iron Ave, Dover, OH and can be reached out via phone at 330-343-5555 and via fax at 330-343-1601.

Location: 897 E Iron Ave, Dover, OH, 44622-2030
person
Provider Profile Details
NPI Number
1396295168
Provider Name
James Sample
Credential
CDCA
Provider Entity Type
Individual
Gender
Male
Address
897 E Iron Ave, Dover, OH, 44622-2030
Phone Number
330-343-5555
Fax Number
330-343-1601
Provider Enumeration Date
10/05/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
897 E Iron Ave
City
State
Zip
44622-2030
Phone Number
330-343-5555
Fax Number
330-343-1601
person
Provider Business Mailing Address Details
Address
897 E Iron Ave
City
State
Zip
44622-2030
Phone Number
330-343-5555
Fax Number
330-343-1601
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CDCA.161142 (Ohio)
Definition
Definition to come...
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