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NPI Code Detail

MEDICARE: JEANIE ESTLE

MEDICARE: JEANIE ESTLE
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
1171M00000XCase Manager/Care CoordinatorOH
2101YA0400XAddiction (Substance Use Disorder) Counselor191058OH

General Provider Information

NPI Number : 1598520561
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANIE ESTLE
Provider Business Mailing Address
First Line : 1619 TEXAS CT
Second Line :
City : XENIA
State : OH
Zip : 45385-4864
Country : US
Telephone Number : 937-768-9856
Fax Number :
Provider Business Practice Location Address
First Line : 3411 OFFICE PARK DR
Second Line :
City : DAYTON
State : OH
Zip : 45439-2298
Country : US
Telephone Number : 937-802-5440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2024
Last Update Date : 03/09/2026

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Directions to “ JEANIE ESTLE ” Practice Location

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