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Individual
ZACHARY A JEDDING
Active
Individual
ZACHARY A JEDDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C.2608619
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.189600
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCIII163008
OH
171M00000X
Case Manager/Care Coordinator
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
LICENSURE BOARD
OH
Enumeration date
11/28/2022
Last updated
09/16/2026
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