# JEFFERSON BLAKE SCHAEFFER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1073166385
- **Gender:** Man
- **Credential:** CDCA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | KY | — |
| 101Y00000X | Counselor | — | OH | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | CDCA.175177 | OH | Yes |

## Other

- **Enumeration date:** 07/17/2019
- **Last updated:** 01/15/2021