Jacob Staley
Counselor, Mental Health in Cincinnati, OH. Individual provider (NPI-1).
NPI number1194583989
StatusActive
Last updated in NPPESMar 7, 2024
Details
- NPI
- 1194583989
- Entity type
- Individual (NPI-1)
- Name
- Jacob Staley
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 7, 2024
- Certification date
- Mar 7, 2024
- Last updated
- Mar 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 101Y00000X | Counselor | – | – |
Practice location
3650 Muddy Creek Rd Ste 100Cincinnati, OH 45238-2058
Phone 513-347-0375
Mailing address
3650 Muddy Creek Rd Ste 100Cincinnati, OH 45238-2058
Phone 513-347-0375
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