person
Jacob Tyler O'dell
Addiction (Substance Use Disorder) Counselor in Chesapeake, Ohio
NPI 1477270387

Jacob Tyler O'dell is an Addiction (Substance Use Disorder) Counselor based in Chesapeake, OH and is specialized in Addiction (Substance Use Disorder). Jacob Tyler O'dell practices in Chesapeake, OH. The NPI Number for Jacob Tyler O'dell is 1477270387 and holds a License No. CDCA.182427 (Ohio).

The current practice location address for Jacob Tyler O'dell is 11470 County Road 1, Chesapeake, OH and can be reached out via phone at 740-451-0074.

Location: 11470 County Road 1, Chesapeake, OH, 45619-7010
person
Provider Profile Details
NPI Number
1477270387
Provider Name
Jacob Tyler O'dell
Credential
Provider Entity Type
Individual
Gender
Male
Address
11470 County Road 1, Chesapeake, OH, 45619-7010
Phone Number
740-451-0074
Fax Number
Provider Enumeration Date
10/21/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
841784357 05 OH
institution
Provider Business Practice Location Address Details
Address
11470 County Road 1
City
State
Zip
45619-7010
Phone Number
740-451-0074
Fax Number
person
Provider Business Mailing Address Details
Address
11470 County Road 1
City
State
Zip
45619-7010
Phone Number
740-451-0074
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.182427 (Ohio)
Definition
Definition to come...
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