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
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 0259 (OH) |
| Clinical Medical Laboratory | 291U00000X | None 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.