JACOB TYLER O'DELL

CHESAPEAKE, OH
NPI1477270387
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.182427)
Enumeration Date2022-10-21
Last Update Date2022-10-21
Business Address
JACOB TYLER O'DELL
11470 COUNTY ROAD 1
CHESAPEAKE, OH 45619-7010
Phone number: 740-451-0074
Mailing Address
JACOB TYLER O'DELL
11470 COUNTY ROAD 1
CHESAPEAKE, OH 45619-7010
Phone number: 740-451-0074