| Jimmy Scott Vandyke, LICDC | |
|
1830 W High St, Piqua, OH 45356-9399 | |
| (513) 834-7063 | |
| (513) 873-1567 |
| Full Name | Jimmy Scott Vandyke |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1830 W High St, Piqua, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881190585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.161792 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jimmy Scott Vandyke, LICDC 4600 Montgomery Rd Ste 400, Cincinnati, OH 45212-2600 Ph: () - | Jimmy Scott Vandyke, LICDC 1830 W High St, Piqua, OH 45356-9399 Ph: (513) 834-7063 |
Eric Lancaster, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1130 Garbry Rd, Piqua, OH 45356 Phone: 513-941-4999 Fax: 513-694-0168 | |
Muhammad Muqtadir, Counselor Medicare: Not Enrolled in Medicare Practice Location: 987 E Ash St, Piqua, OH 45356 Phone: 937-846-5323 | |
Kaitlin D Osborne, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1130 Garbry Rd, Piqua, OH 45356 Phone: 513-941-4999 Fax: 513-694-0168 | |
Maribel Rivera, Counselor Medicare: Not Enrolled in Medicare Practice Location: 909 Blaine Ave, Piqua, OH 45356 Phone: 937-451-7700 Fax: 937-504-5093 | |
Cassie Davis, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1830 W High St, Piqua, OH 45356 Phone: 513-834-7063 | |
Mrs. Allison Louise Pierce, CDCAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1830 W High St, Piqua, OH 45356 Phone: 513-834-7063 Fax: 513-873-1567 | |
Angela K Quinones, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1830 W High St, Piqua, OH 45356 Phone: 866-934-7450 |