Individual
JACOB JOSEPH HAMMONDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TCADC
Contact information
Practice address
1629 MADISON AVE, COVINGTON, KY 41011-3317
(859) 814-2280
Mailing address
1570 SAINT ANTHONY DR, COVINGTON, KY 41011-3753
(937) 481-1424
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
270117
KY
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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