Jaques, Cody

Jaques, Cody is an sole proprietor health care provider with primary practice located at 1114 Shannon Ln , Xenia OH 45385-2788. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Jaques, Cody can be contacted via phone (937) 681-8322.

Contact Information

Primary practice address
1114 Shannon Ln Xenia OH 45385-2788
Phone: (937) 681-8322
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X C.1600143-TRNE Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E.1901498 Ohio

Profile Details

NPI number 1659734309
LBN Legal business name Jaques, Cody
Credentials M.S, LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2016
Last updated Dec 11th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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