IndividualActive
Joshua Thacker, CDCA, QMHS
NPI 1710585369 · Addiction (Substance Use Disorder) Counselor · Brookfield, OH
Provider details
- NPI number
- 1710585369
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CDCA, QMHS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 174628 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Practice location
7529 Warren Sharon Rd
Brookfield, OH 44403-9796
Phone: (740) 415-1138
Approximate (ZIP-level) locationGet directions
Mailing address
401 E Mcmillan St
Cincinnati, OH 45206-1922
Additional practice locations (2)
- 401 E Mcmillan StCincinnati, OH 45206-1922Phone: (740) 222-8410
- 411 Court StPortsmouth, OH 45662-3932Phone: (740) 354-8004
Registry dates
- Enumerated
- 2020-10-15
- Last updated
- 2024-10-23
- Certified
- 2024-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.