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Individual

JASON TUSSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
QMHS, CDCA

Contact information

Practice address
1405 11TH ST, PORTSMOUTH, OH 45662-4203
(513) 834-7063
Mailing address
615 ELSINORE PL STE 200, CINCINNATI, OH 45202-1459
(513) 834-7063

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
167186
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.170905
OH
101YM0800X
Mental Health Counselor

Other

Enumeration date
12/28/2017
Last updated
01/27/2021
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