Individual
JASON CROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
TCADC
Contact information
Practice address
1610 MADISON AVE, COVINGTON, KY 41011-3318
(833) 510-4357
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
(513) 354-7115
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
289323
KY
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.185894
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
LICENSURE BOARD
OH
Enumeration date
11/03/2022
Last updated
12/11/2025
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