Most Relevant Information
Provider Data
| NPI Number: | 1003571985 |
| Provider Name: | THOMAS JEROME BACH MS, LICDC-CS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | LICDC.965593 |
Most Important Dates
| Enumeration Date: | 11/04/2021 |
| Last Updated: | 11/04/2021 |
Provider Practice Location
1617 READING RD
CINCINNATI
OH
452021413
Practice Location Phone/Fax
| Phone: | 5135632366 |
| Fax: | 5136292311 |
Provider Mailing Location
3678 JESSUP RD
CINCINNATI
OH
452476032
Provider Mailing Phone/Fax
| Phone: | 5133905497 |
| Fax: | 5136292311 |