| Jack Waters, LCDC-III, QMHS | |
|
15221 State Route 772, Piketon, OH 45661 | |
| (740) 493-4260 | |
| Not Available |
| Full Name | Jack Waters |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 15221 State Route 772, Piketon, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952820482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCDCIII.161114 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Waters, LCDC-III, QMHS 4431 Maple Grove Rd, Chillicothe, OH 45601-8890 Ph: (740) 703-5507 | Jack Waters, LCDC-III, QMHS 15221 State Route 772, Piketon, OH 45661 Ph: (740) 493-4260 |
Luke William Culp, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15221 State Route 772, Piketon, OH 45661 Phone: 740-493-4260 | |
Steven Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15221 State Route 772, Piketon, OH 45661 Phone: 740-493-4260 | |
Shawn Randall Prentice, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15221 State Route 772, Piketon, OH 45661 Phone: 937-213-0416 | |
Braun R. Lowery, CDCA/QMHS Counselor Medicare: Not Enrolled in Medicare Practice Location: 15221 State Route 772, Piketon, OH 45661 Phone: 740-493-4260 Fax: 740-493-4262 | |
Benjamin Glispie, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15221 St Rt 124, Piketon, OH 45661 Phone: 740-947-6727 | |
Danielle Dawn Sheets, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15221 State Route 772, Piketon, OH 45661 Phone: 740-493-4260 | |
Adam Young, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 316 E Main St, Piketon, OH 45661 Phone: 800-321-8293 |