# JASON TUSSEY

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

## Provider details

- **NPI number:** 1649786633
- **Gender:** Man
- **Credential:** QMHS, CDCA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 167186 | OH | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | CDCA.170905 | OH | Yes |
| 101YM0800X | Mental Health Counselor | — | NULL | — |

## Other

- **Enumeration date:** 12/28/2017
- **Last updated:** 01/27/2021