Individual
JAMIE A LOUDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA QMHS
Contact information
Practice address
517 3RD AVE, CHESAPEAKE, OH 45619-1036
(740) 451-1455
Mailing address
517 3RD AVE, CHESAPEAKE, OH 45619-1036
(740) 451-1455
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.175134
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0391555
—
OH
Enumeration date
02/19/2020
Last updated
03/25/2024
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