MR. JON DICK MSS. LSW LICDC-CS NPI 1245693621

NPI Information

NPI: 1245693621
Provider Name: MR. JON DICK, MSS. LSW, LICDC-CS
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
126 EAST 2ND STREET
WAVERLY, OH
ZIP 45601
Phone: (740) 851-5307
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MR. Jon Dick, MSS. LSW, LICDC-CS is an addiction (substance use disorder) counselor in Waverly, OH. MR. Jon Dick, MSS. LSW, LICDC-CS NPI is 1245693621. 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:

126 EAST 2ND STREET
WAVERLY, OH
ZIP 45601
Phone: (740) 851-5307
Fax: (740) 851-5308

The enumeration date for this NPI number is 4/1/2016 and was last updated on 4/1/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	S1278	OHIO	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	965770	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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