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Individual
MR. THOMAS JEREMIAH TEAGUE JR.
Active
Individual
MR. THOMAS JEREMIAH TEAGUE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
965668
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
ICDC.965668-CS
OH
1041C0700X
Clinical Social Worker
Primary
S.0014421
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ICDC.965668-CS
LICENSED INDEPENDENT CHEMICAL DEPENDENCY COUNSELOR CLINICAL SUPERVISOR
OH
Enumeration date
03/23/2016
Last updated
06/23/2025
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