Individual provider · Type 1 NPI

Laneisha Tiant Gardner, CDCA

Addiction (Substance Use Disorder) Counselor · Moraine, OH

NPI number 1013572676 Active

Practice location

200 Daruma Pkwy
Moraine, OH 45439-7909

Call (937) 262-3500 Map

Fax (937) 262-5902

Mailing address

73 Crown Ave
Dayton, OH 45417-9017

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.170323 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1013572676

Laneisha Tiant Gardner, CDCA's National Provider Identifier is 1013572676, issued on May 8, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Moraine, OH. The record was last updated on May 8, 2019.