Organization · Type 2 NPI

Lighthouse Youth Services Inc.

Addiction (Substance Use Disorder) Counselor · Dayton, OH

NPI number 1063480846 Active

Practice location

131 N Ludlow St, Suite 384
Dayton, OH 45402-1116

Fax (937) 586-0441

Mailing address

1501 Madison Rd, 2nd, Floor
Cincinnati, OH 45206-1776

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X0259 (OH)
Clinical Medical Laboratory 291U00000XNone listed

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

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About NPI 1063480846

Lighthouse Youth Services Inc.'s National Provider Identifier is 1063480846, issued on Mar 9, 2006. 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 Apr 7, 2025.