Jeffery Stoudermire is a Dayton, Ohio based counselor who is specialized as Addiction (Substance Use Disorder) Counselor. Active license number of Jeffery Stoudermire is CDCA.177431 for Addiction (Substance Use Disorder) Counselor in Ohio. His current practice location is 4977 Northcutt Pl, Dayton. Patients can book an appointment with him at 937-387-6395.
Jeffery Stoudermire is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. He helps his clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.
Complete Profile:
Jeffery Stoudermire speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Jeffery Stoudermire |
| Specialization: | Addiction (Substance Use Disorder) Counselor |
| Gender: | Male |
| Credentials: | CDCA |
| Accepts Medicare Assignment: | No |
| Practice Address: | 4977 Northcutt Pl, Dayton,
Ohio, 45414-3839 |
| Phone: | 937-387-6395 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1518505304 |
| NPI Enumeration Date: | 12 Dec, 2019 |
| NPI Last Update On: | 07 Jul, 2021 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jeffery Stoudermire are as mentioned below.
| License Number | Specialization | State | Status | |
| CDCA.177431 | Addiction (Substance Use Disorder) Counselor | Ohio | Primary | |
| CDCA.171501 | Addiction (Substance Use Disorder) Counselor | Ohio | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jeffery Stoudermire such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0383979 | Medicaid | Ohio | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4977 Northcutt Pl,
Dayton, Ohio |
| Zip: | 45414-3839 |
| Phone Number: | 937-387-6395 |
Patients can reach Jeffery Stoudermire at
4977 Northcutt Pl, Dayton, Ohio or can
call to book an appointment on 937-387-6395.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.