Individual
JEFFERSON BLAKE SCHAEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
421 HOME ST, GEORGETOWN, OH 45121-1407
(513) 834-7063
Mailing address
615 ELSINORE PL STE 200, CINCINNATI, OH 45202-1459
(513) 834-7063
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
KY
101Y00000X
Counselor
—
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.175177
OH
Other
Enumeration date
07/17/2019
Last updated
01/15/2021
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