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Latescha Tanae Allen, CDCA
Addiction (Substance Use Disorder) Counselor in Moraine, Ohio
NPI 1508366709

Latescha Tanae Allen is an Addiction (Substance Use Disorder) Counselor based in Dayton, OH and is specialized in Addiction (Substance Use Disorder). Latescha Tanae Allen practices in Moraine, OH and has the professional credentials of CDCA. The NPI Number for Latescha Tanae Allen is 1508366709 and holds a License No. 100128 (Ohio).

The current practice location address for Latescha Tanae Allen is 200 Daruma Pkwy, Moraine, OH and can be reached out via phone at 937-262-3502 and via fax at 937-496-5274.

Location: 200 Daruma Pkwy, Moraine, OH, 45459-7925
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508366709
Provider Name
Latescha Tanae Allen
Credential
CDCA
Provider Entity Type
Individual
Gender
Female
Address
200 Daruma Pkwy, Moraine, OH, 45459-7925
Phone Number
937-262-3502
Fax Number
937-496-5274
Provider Enumeration Date
02/15/2018
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
937-262-3502
Fax Number
937-496-5274
person
Provider Business Mailing Address Details
Address
200 Daruma Pkwy
City
Moraine
State
Ohio
Zip
45439-7909
Phone Number
937-262-3502
Fax Number
937-496-5274
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
100128 (Ohio)
Definition
Definition to come...
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