Individual
JEFFERY WILLIAM DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
8554 WEXFORD AVE, CINCINNATI, OH 45236-1612
(513) 289-5621
Mailing address
8554 WEXFORD AVE, CINCINNATI, OH 45236-1612
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OH
Other
Enumeration date
01/12/2018
Last updated
01/12/2018
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