JAKE THOMAS LOGSDON

CAMPBELLSVILLE, KY
NPI1174221766
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY  275818)
Enumeration Date2023-02-22
Last Update Date2023-02-22
Business Address
JAKE THOMAS LOGSDON TCADC
830 W BROADWAY ST
CAMPBELLSVILLE, KY 42718-2701
Phone number: 866-934-7450
Mailing Address
JAKE THOMAS LOGSDON TCADC
4600 MONTGOMERY RD STE 400
CINCINNATI, OH 45212-2600
Phone number: