JACOB T THEADEMAN

CINCINNATI, OH
NPI1669187589
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.183225)
Enumeration Date2023-01-16
Last Update Date2023-01-16
Business Address
JACOB T THEADEMAN
1501 MADISON RD
CINCINNATI, OH 45206
Phone number: 513-354-5200
Mailing Address
JACOB T THEADEMAN
1501 MADISON RD
CINCINNATI, OH 45206
Phone number: 513-354-5200