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Alton Keith Daugherty, LCDCIII
Addiction (Substance Use Disorder) Counselor in Moraine, Ohio
NPI 1770083982

Alton Keith Daugherty is an Addiction (Substance Use Disorder) Counselor based in Dayton, OH and is specialized in Addiction (Substance Use Disorder). Alton Keith Daugherty practices in Moraine, OH and has the professional credentials of LCDCIII. The NPI Number for Alton Keith Daugherty is 1770083982 and holds a License No. 161525 (Ohio).

The current practice location address for Alton Keith Daugherty is 200 Daruma Pkwy, Moraine, OH and can be reached out via phone at 937-963-5522 and via fax at 937-496-5216.

Location: 200 Daruma Pkwy, Moraine, OH, 45406-4752
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770083982
Provider Name
Alton Keith Daugherty
Credential
LCDCIII
Provider Entity Type
Individual
Gender
Male
Address
200 Daruma Pkwy, Moraine, OH, 45406-4752
Phone Number
937-963-5522
Fax Number
937-496-5216
Provider Enumeration Date
02/14/2018
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
937-963-5522
Fax Number
937-496-5216
person
Provider Business Mailing Address Details
Address
200 Daruma Pkwy
City
Moraine
State
Ohio
Zip
45439-7909
Phone Number
937-963-5522
Fax Number
937-496-5216
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
161525 (Ohio)
Definition
Definition to come...
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