Jacob Tyler O'dell
NPI #1477270387 in Chesapeake, Ohio
Provider Information
- NPI Number
- 1477270387
- Entity Type
- Individual
- Name
- Jacob Tyler O'dell
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Oct 21, 2022
- Last Updated
- Oct 21, 2022
Practice Location
- Address
- 11470 COUNTY ROAD 1
- City
- Chesapeake
- State
- Ohio
- ZIP Code
- 45619-7010
- Phone
- (740) 451-0074
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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