| Alton Keith Daugherty, LCDC III | |
|
200 Daruma Pkwy, Moraine, OH 45439-7909 | |
| (937) 963-5522 | |
| (937) 496-5216 |
| Full Name | Alton Keith Daugherty |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 200 Daruma Pkwy, Moraine, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770083982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 161525 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Alton Keith Daugherty, LCDC III 1470 Vernon Dr, Dayton, OH 45406-4752 Ph: (937) 416-9030 | Alton Keith Daugherty, LCDC III 200 Daruma Pkwy, Moraine, OH 45439-7909 Ph: (937) 963-5522 |
Ms. Bonnie R Parish, LISW-W/BCD Counselor Medicare: Accepting Medicare Assignments Practice Location: 2211 Arbor Blvd, Moraine, OH 45439 Phone: 937-222-9481 Fax: 937-222-3710 | |
Laneisha Tiant Gardner, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Daruma Pkwy, Moraine, OH 45439 Phone: 937-262-3500 Fax: 937-262-5902 | |
Amita Lee Pujara, M.S., PC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-534-1359 Fax: 937-534-1347 | |
Mrs. Holly St.pierre, MS ED. LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 | |
Mrs. Karla Renee Tolbert, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 513-604-8063 | |
Mrs. Jennifer Louise Pettit, M. ED., LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 | |
Hannah Blair, MSW, LSW, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 |