Individual provider · Type 1 NPI
Kenyatta Staten, CDCA
Addiction (Substance Use Disorder) Counselor · Athens, OH
NPI number
1689395055
Active
Practice location
400 E State St Ste D
Athens, OH 45701-1870
Mailing address
2110 S Smithville Rd
Kettering, OH 45420-1437
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CDCA185754 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1689395055
Kenyatta Staten, CDCA's National Provider Identifier is 1689395055, issued on Sep 6, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Athens, OH. The record was last updated on Feb 24, 2025.