Individual
JACOB SAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 WAYNE AVE, DAYTON, OH 45410
(937) 369-3094
Mailing address
9246 WESTBROOK RD, BROOKVILLE, OH 45309-8307
(513) 319-2179
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.165160
OH
104100000X
Social Worker
Primary
W.1700073
OH
Other
Enumeration date
03/19/2018
Last updated
05/29/2018
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