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NPI Code Detail

MEDICARE: LUKE JOSEPH EUSEBIO CDCA

MEDICARE: LUKE JOSEPH EUSEBIO CDCA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.195324OH

General Provider Information

NPI Number : 1487488656
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUKE JOSEPH EUSEBIO CDCA
Provider Business Mailing Address
First Line : 4600 MONTGOMERY RD STE 400
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-2600
Country : US
Telephone Number : 833-510-4357
Fax Number : 866-460-2997
Provider Business Practice Location Address
First Line : 5850 RIDGE RD
Second Line :
City : PARMA
State : OH
Zip : 44129-3169
Country : US
Telephone Number : 833-855-4357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2024
Last Update Date : 03/02/2026

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Directions to “ LUKE JOSEPH EUSEBIO CDCA” Practice Location

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