NPI

Latescha Tanae Allen

NPI 1508366709

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
CDCA
Type
Individual
Enumeration date
2018-02-15
Last updated
2018-02-15

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Specialties

Licenses

License OH
100128

Location

Practice location
200 Daruma Pkwy
City
Moraine OH
Postal code
45439-7909
Phone
(937) 262-3502
Fax
(937) 496-5274

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Addiction Counselors in Moraine, OH. 21 with this primary taxonomy in the public file.

Other NPIs in Moraine, OH. 951 records in the public file.

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