JACOB HUDDLESON

DAYTON, OH
NPI1295486249
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.183456)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-01-11
Last Update Date2023-02-06
Business Address
JACOB HUDDLESON
1 ELIZABETH PL
DAYTON, OH 45417-3445
Phone number: 937-813-1737
Mailing Address
JACOB HUDDLESON
1 ELIZABETH PL
DAYTON, OH 45417-3445
Phone number: 937-813-1737