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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALTON KEITH DAUGHERTY, LCDC III

Active Sole Proprietor

ALTON KEITH DAUGHERTY, LCDC III is a Addiction (Substance Use Disorder) Counselor healthcare provider located in MORAINE, Ohio. NPI 1770083982 is currently active in the NPPES registry. Verify at CMS.

Addiction (Substance Use Disorder) Counselor · MORAINE, OH

Registration Details

NPI Number
1770083982
Provider Type
Individual
Gender
Male
NPI Issued
Feb 14, 2018 (8.4529694919092 yrs)
Last Updated
Feb 14, 2018
License
161525 (OH)
Sole Proprietor
Yes

Practice Information

Address
200 DARUMA PKWY
MORAINE, OH, 454397909
Browse OH providers · Browse ZIP 45439
Phone
9379635522
Fax
9374965216

Other Addiction (Substance Use Disorder) Counselor Providers in MORAINE, OH

Name Credential NPI
RODESCU MACKLIN LICDC 1124532635
SHARON D WESS LCDC LL 1558860502
RENEE N HICKS CDCA 1992205389
ROBIN GAIL BARCY LCDC III 1598265829
LATESCHA TANAE ALLEN CDCA 1508366709
TERRANCE ANTHONY SMITH 1093200594
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.