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Laneisha Tiant Gardner, CDCA
Addiction (Substance Use Disorder) Counselor in Moraine, Ohio
NPI 1013572676

Laneisha Tiant Gardner is an Addiction (Substance Use Disorder) Counselor based in Dayton, OH and is specialized in Addiction (Substance Use Disorder). Laneisha Tiant Gardner practices in Moraine, OH and has the professional credentials of CDCA. The NPI Number for Laneisha Tiant Gardner is 1013572676 and holds a License No. CDCA.170323 (Ohio).

The current practice location address for Laneisha Tiant Gardner is 200 Daruma Pkwy, Moraine, OH and can be reached out via phone at 937-262-3500 and via fax at 937-262-5902.

Location: 200 Daruma Pkwy, Moraine, OH, 45417-9017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013572676
Provider Name
Laneisha Tiant Gardner
Credential
CDCA
Provider Entity Type
Individual
Gender
Female
Address
200 Daruma Pkwy, Moraine, OH, 45417-9017
Phone Number
937-262-3500
Fax Number
937-262-5902
Provider Enumeration Date
05/08/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 Daruma Pkwy
City
Moraine
State
Ohio
Zip
45439-7909
Phone Number
937-262-3500
Fax Number
937-262-5902
person
Provider Business Mailing Address Details
Address
200 Daruma Pkwy
City
Moraine
State
Ohio
Zip
45439-7909
Phone Number
937-262-3500
Fax Number
937-262-5902
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CDCA.170323 (Ohio)
Definition
Definition to come...
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