person
Jack Waters, LCDC-III,QMHS
Addiction (Substance Use Disorder) Counselor in Piketon, Ohio
NPI 1952820482

Jack Waters is an Addiction (Substance Use Disorder) Counselor based in Chillicothe, OH and is specialized in Addiction (Substance Use Disorder). Jack Waters practices in Piketon, OH and has the professional credentials of LCDC-III,QMHS. The NPI Number for Jack Waters is 1952820482 and holds a License No. LCDCIII.161114 (Ohio).

The current practice location address for Jack Waters is 15221 State Route 772, Piketon, OH and can be reached out via phone at 740-493-4260.

Location: 15221 State Route 772, Piketon, OH, 45601-8890
person
Provider Profile Details
NPI Number
1952820482
Provider Name
Jack Waters
Credential
LCDC-III,QMHS
Provider Entity Type
Individual
Gender
Male
Address
15221 State Route 772, Piketon, OH, 45601-8890
Phone Number
740-493-4260
Fax Number
Provider Enumeration Date
09/15/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15221 State Route 772
City
State
Zip
45661
Phone Number
740-493-4260
Fax Number
person
Provider Business Mailing Address Details
Address
15221 State Route 772
City
State
Zip
45661
Phone Number
740-493-4260
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LCDCIII.161114 (Ohio)
Definition
Definition to come...
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