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 Date2024-09-10
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
4600 MONTGOMERY RD STE 400
CINCINNATI, OH 45212-2600
Phone number: