Individual provider · Type 1 NPI

Sidney Elizabeth Nicole Medaugh, LCDCIII

Addiction (Substance Use Disorder) Counselor · Dayton, OH

NPI number 1033820931 Active

Practice location

8120 Garnet Dr
Dayton, OH 45458-2141

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLCDCIII.163026 (OH)

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

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About NPI 1033820931

Sidney Elizabeth Nicole Medaugh, LCDCIII's National Provider Identifier is 1033820931, issued on Dec 12, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dayton, OH. The record was last updated on Jun 25, 2026.