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Taylor Roustio, LCDCII
Addiction (Substance Use Disorder) Counselor in Moraine, Ohio
NPI 1336855154

Taylor Roustio is an Addiction (Substance Use Disorder) Counselor based in Moraine, OH and is specialized in Addiction (Substance Use Disorder). Taylor Roustio practices in Moraine, OH and has the professional credentials of LCDCII. The NPI Number for Taylor Roustio is 1336855154 and holds a License No. LCDCII.161800 (Ohio).

The current practice location address for Taylor Roustio is 3430 S Dixie Dr Ste 308, Moraine, OH and can be reached out via phone at 937-388-3009.

Location: 3430 S Dixie Dr Ste 308, Moraine, OH, 45439-2316
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336855154
Provider Name
Taylor Roustio
Credential
LCDCII
Provider Entity Type
Individual
Gender
Male
Address
3430 S Dixie Dr Ste 308, Moraine, OH, 45439-2316
Phone Number
937-388-3009
Fax Number
Provider Enumeration Date
01/25/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3430 S Dixie Dr Ste 308
City
Moraine
State
Ohio
Zip
45439-2316
Phone Number
937-388-3009
Fax Number
person
Provider Business Mailing Address Details
Address
3430 S Dixie Dr Ste 308
City
Moraine
State
Ohio
Zip
45439-2316
Phone Number
937-388-3009
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
LCDCII.161800 (Ohio)
Definition
Definition to come...
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