JIMMY SCOTT VANDYKE

PIQUA, OH
NPI1881190585
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH  LICDC.161792)
Enumeration Date2018-04-02
Last Update Date2020-07-15
Business Address
JIMMY SCOTT VANDYKE LICDC
1830 W HIGH ST
PIQUA, OH 45356-9399
Phone number: 513-834-7063
Mailing Address
JIMMY SCOTT VANDYKE LICDC
615 ELSINORE PL STE 200
CINCINNATI, OH 45202-1459
Phone number: 513-834-7063
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