Individual
JAMES HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
160 N BREIEL BLVD, MIDDLETOWN, OH 45042-3806
(513) 941-4999
Mailing address
6460 HARRISON AVE STE 100, CINCINNATI, OH 45247-7958
(513) 208-6399
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII.11569
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LICDC.161957
OH
Other
Enumeration date
11/30/2016
Last updated
01/27/2020
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