Alton Keith Daugherty, LCDC III

NPI #1770083982 in Moraine, Ohio

Provider Information

NPI Number
1770083982
Entity Type
Individual
Name
Alton Keith Daugherty, LCDC III
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LCDC III
Enumeration Date
Feb 14, 2018
Last Updated
Feb 14, 2018

Practice Location

Address
200 DARUMA PKWY
State
Ohio
ZIP Code
45439-7909
Phone
(937) 963-5522

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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