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Douglas Ray Roller, CDCA
Addiction (Substance Use Disorder) Counselor in Vandalia, Ohio
NPI 1447903760

Douglas Ray Roller is an Addiction (Substance Use Disorder) Counselor based in Vandalia, OH and is specialized in Addiction (Substance Use Disorder). Douglas Ray Roller practices in Vandalia, OH and has the professional credentials of CDCA. The NPI Number for Douglas Ray Roller is 1447903760 and holds a License No. (Ohio).

The current practice location address for Douglas Ray Roller is 69 N Dixie Dr Ste F, Vandalia, OH and can be reached out via phone at 937-280-4508.

Location: 69 N Dixie Dr Ste F, Vandalia, OH, 45377-2060
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447903760
Provider Name
Douglas Ray Roller
Credential
CDCA
Provider Entity Type
Individual
Gender
Male
Address
69 N Dixie Dr Ste F, Vandalia, OH, 45377-2060
Phone Number
937-280-4508
Fax Number
Provider Enumeration Date
01/27/2022
Last Update Date
04/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
236 05 DC
5874 01 OH HEALTH PARTNERS
568946544 01 OH BCBS
institution
Provider Business Practice Location Address Details
Address
69 N Dixie Dr Ste F
City
Vandalia
State
Ohio
Zip
45377-2060
Phone Number
937-280-4508
Fax Number
person
Provider Business Mailing Address Details
Address
69 N Dixie Dr Ste F
City
Vandalia
State
Ohio
Zip
45377-2060
Phone Number
937-280-4508
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.
CDCA.186338 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(Ohio)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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