Individual provider · Type 1 NPI

Latescha Tanae Allen, CDCA

Addiction (Substance Use Disorder) Counselor · Moraine, OH

NPI number 1508366709 Active

Practice location

200 Daruma Pkwy
Moraine, OH 45439-7909

Call (937) 262-3502 Map

Fax (937) 496-5274

Mailing address

5521 Liberty Bell Cir
Dayton, OH 45459-7925

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X100128 (OH)

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

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About NPI 1508366709

Latescha Tanae Allen, CDCA's National Provider Identifier is 1508366709, issued on Feb 15, 2018. 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 Feb 15, 2018.