Individual provider · Type 1 NPI

Blythe Kayla Anderson, CDCA

Addiction (Substance Use Disorder) Counselor · Dayton, OH

NPI number 1124514658 Active

Practice location

1 Elizabeth Pl
Dayton, OH 45417-3445

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X168755 (OH)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.165292 (OH)

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About NPI 1124514658

Blythe Kayla Anderson, CDCA's National Provider Identifier is 1124514658, issued on Jul 9, 2018. 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 Dec 14, 2018.