Provider Demographics
NPI:1841740081
Name:IAMES, HAROLD (LICDC)
Entity Type:Individual
Prefix:
First Name:HAROLD
Middle Name:
Last Name:IAMES
Suffix:
Gender:M
Credentials:LICDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1093 HEARTHSTONE DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-5854
Mailing Address - Country:US
Mailing Address - Phone:513-439-2299
Mailing Address - Fax:
Practice Address - Street 1:1093 HEARTHSTONE DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-5854
Practice Address - Country:US
Practice Address - Phone:513-439-2299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-12
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH965592101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)