Individual provider · Type 1 NPI

Destiny Havens, CDCA

Addiction (Substance Use Disorder) Counselor · Mason, OH

NPI number 1215692355 Active

Practice location

4483 US North 42
Mason, OH 45040-1934

Fax (866) 460-2997

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.182322 (OH)
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XCDCA178749 (OH)

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About NPI 1215692355

Destiny Havens, CDCA's National Provider Identifier is 1215692355, issued on Nov 3, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mason, OH. The record was last updated on Feb 11, 2026.