person
Alexis Deatherage, CDCA
Addiction (Substance Use Disorder) Counselor in Batavia, Ohio
NPI 1043709470

Alexis Deatherage is an Addiction (Substance Use Disorder) Counselor based in Cincinnati, OH and is specialized in Addiction (Substance Use Disorder). Alexis Deatherage practices in Batavia, OH and has the professional credentials of CDCA. The NPI Number for Alexis Deatherage is 1043709470 and holds a License No. CDCA.170445 (Ohio).

The current practice location address for Alexis Deatherage is 1100 Hospital Dr, Batavia, OH and can be reached out via phone at 513-834-7063 and via fax at 513-873-1567.

Location: 1100 Hospital Dr, Batavia, OH, 45206-2348
person
Provider Profile Details
NPI Number
1043709470
Provider Name
Alexis Deatherage
Credential
CDCA
Provider Entity Type
Individual
Gender
Female
Address
1100 Hospital Dr, Batavia, OH, 45206-2348
Phone Number
513-834-7063
Fax Number
513-873-1567
Provider Enumeration Date
05/01/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0347809 05 OH
institution
Provider Business Practice Location Address Details
Address
1100 Hospital Dr
City
State
Zip
45103-1920
Phone Number
513-834-7063
Fax Number
513-873-1567
person
Provider Business Mailing Address Details
Address
1100 Hospital Dr
City
State
Zip
45103-1920
Phone Number
513-834-7063
Fax Number
513-873-1567
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CDCA.170445 (Ohio)
Definition
Definition to come...
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