Individual
JEFFREY HINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDCIII
Contact information
Practice address
4253 FREE PIKE, DAYTON, OH 45416-1236
(937) 640-0394
Mailing address
4253 FREE PIKE, DAYTON, OH 45416-1236
(937) 640-0394
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
131095
OH
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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