Individual provider · Type 1 NPI

Leah Kathryn Edmonson, LCDC III

Addiction (Substance Use Disorder) Counselor · Moraine, OH

NPI number 1619577210 Active

Practice location

3430 S Dixie Dr Ste 308
Moraine, OH 45439-2316

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X177356 (OH)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLCDCIII.162822 (OH)
Addiction (Substance Use Disorder) Counselor 101YA0400X174191 (OH)
Addiction (Substance Use Disorder) Counselor 101YA0400X161862 (OH)

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

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About NPI 1619577210

Leah Kathryn Edmonson, LCDC III's National Provider Identifier is 1619577210, issued on Nov 1, 2020. 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 5, 2025.