NPI 1043709470

Alexis Deatherage, CDCA

Practitioner Addiction (Substance Use Disorder) Counselor Batavia, OH

Practice location

Address: 1100 Hospital Dr, Batavia, OH 45103-1920
Phone: (513) 834-7063
Fax: (513) 873-1567
Mailing address: 446 Morgan St, Cincinnati, OH 45206-2348

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence CDCA.170445 (OH)

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Registry record

NPI: 1043709470
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 May 2018
Record last updated: 15 May 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.