Individual
ADAM STACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
682 HAWTHORNE AVE, CINCINNATI, OH 45205-2398
(513) 873-1690
Mailing address
682 HAWTHORNE AVE, CINCINNATI, OH 45205-2398
(513) 873-1690
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.174342
OH
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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