Individual provider · Type 1 NPI

Fredericka L. Demmons, CASE MANAGER

Addiction (Substance Use Disorder) Counselor · Moraine, OH

NPI number 1376187419 Active

Practice location

3095 Kettering Blvd
Moraine, OH 45439-1983

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XNone listed
Case Manager/Care Coordinator 171M00000X1376187419 (OH)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.195278 (OH)

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About NPI 1376187419

Fredericka L. Demmons, CASE MANAGER's National Provider Identifier is 1376187419, issued on Nov 1, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Moraine, OH. The record was last updated on Mar 23, 2026.