Jack Waters, LCDC-III, QMHS is an addiction (substance use disorder) counselor in Piketon, OH. Jack Waters, LCDC-III, QMHS NPI is 1952820482. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
15221 STATE ROUTE 772
PIKETON, OH
ZIP 45661
Phone: (740) 493-4260
The enumeration date for this NPI number is 9/15/2017 and was last updated on 9/15/2017.