JACOB MARSHALL QUALLS

NICHOLASVILLE, KY
NPI1083491575
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY  282754)
Enumeration Date2023-09-11
Last Update Date2024-04-17
Business Address
JACOB MARSHALL QUALLS CADC
506 N MAIN ST
NICHOLASVILLE, KY 40356-1134
Phone number: 833-510-4357
Mailing Address
JACOB MARSHALL QUALLS CADC
4600 MONTGOMERY RD STE 400
CINCINNATI, OH 45212-2600
Phone number: 833-510-4357
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