Dick, Jon

Dick, Jon is an sole proprietor health care provider with primary practice located at 126 East 2Nd Street , Waverly OH 45601. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Dick, Jon can be contacted via phone (740) 851-5307.

Contact Information

Primary practice address
126 East 2Nd Street Waverly OH 45601
Phone: (740) 851-5307
Fax: (740) 851-5308
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 965770 Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X S1278 Ohio

Profile Details

NPI number 1245693621
LBN Legal business name Dick, Jon
Credentials MSS. LSW, LICDC-CS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 1st, 2016
Last updated Apr 1st, 2016 - about 8 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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