Provider Demographics
NPI:1437701893
Name:MARLOW, JAMIE LEE (CDCA)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:LEE
Last Name:MARLOW
Suffix:
Gender:F
Credentials:CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 AUGSPURGER AVE
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-5702
Mailing Address - Country:US
Mailing Address - Phone:513-827-0170
Mailing Address - Fax:
Practice Address - Street 1:439 S 2ND ST
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-2935
Practice Address - Country:US
Practice Address - Phone:513-863-2975
Practice Address - Fax:513-263-8173
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-15
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCDCA.170783101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)