Individual
JAKE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2300 WALL ST STE F, CINCINNATI, OH 45212-2794
(513) 834-7063
(513) 429-4939
Mailing address
2300 WALL ST STE F, CINCINNATI, OH 45212-2794
(513) 834-7063
(513) 429-4939
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.162038
OH
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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