| Kenyatta Staten, CDCA | |
|
400 E State St Ste D, Athens, OH 45701-1870 | |
| (740) 326-6110 | |
| Not Available |
| Full Name | Kenyatta Staten |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 400 E State St Ste D, Athens, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689395055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA185754 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kenyatta Staten, CDCA 2110 S Smithville Rd, Kettering, OH 45420-1437 Ph: (937) 266-6141 | Kenyatta Staten, CDCA 400 E State St Ste D, Athens, OH 45701-1870 Ph: (740) 326-6110 |
Shannon E Frame, LISW-S, LICDC Counselor Medicare: Accepting Medicare Assignments Practice Location: 11 Graham Dr, Athens, OH 45701 Phone: 800-321-8293 Fax: 740-687-1048 | |
Heather Gary, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 90 Hospital Dr, Athens, OH 45701 Phone: 740-593-3682 Fax: 740-594-5642 | |
Tammy M Stage, LPCC-SUPERVISION Counselor Medicare: Medicare Enrolled Practice Location: 90 Hospital Dr, Athens, OH 45701 Phone: 740-592-3091 Fax: 740-773-3985 | |
Jonnette Andrea Frost, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 224 Columbus Rd, Athens, OH 45701 Phone: 740-592-6724 Fax: 740-592-6728 | |
Marikay J Vanderven, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 90 Hospital Dr, Athens, OH 45701 Phone: 740-593-3682 Fax: 740-594-5642 | |
Kate C Jiggins, LPCC, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 90 Hospital Dr, Athens, OH 45701 Phone: 740-593-3682 Fax: 740-594-5642 | |
Nancy E Pierce, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 90 Hospital Dr, Athens, OH 45701 Phone: 740-593-3682 Fax: 740-594-5642 |