Jimmy Scott Vandyke, LICDC

NPI #1881190585 in Piqua, Ohio

Provider Information

NPI Number
1881190585
Entity Type
Individual
Name
Jimmy Scott Vandyke, LICDC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LICDC
Enumeration Date
Apr 2, 2018
Last Updated
Sep 10, 2024

Practice Location

Address
1830 W HIGH ST
City
Piqua
State
Ohio
ZIP Code
45356-9399
Phone
(513) 834-7063

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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