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David Larry Roddy

Counselor, Addiction (Substance Use Disorder) in Dayton, OH. Individual provider (NPI-1).

NPI number1629856422
StatusActive
Last updated in NPPESSep 21, 2023

Details

NPI
1629856422
Entity type
Individual (NPI-1)
Name
David Larry Roddy
Sex
Male
Sole proprietor
No
Enumeration date
Sep 21, 2023
Certification date
Sep 21, 2023
Last updated
Sep 21, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

7030 N Main St
Dayton, OH 45415-2557

Phone 937-367-1711 · Fax 937-388-8569

Mailing address

7030 N Main St
Dayton, OH 45415-2557

Phone 937-367-1711 · Fax 937-388-8569

Other practice locations

8030 N Main St
Dayton, OH 45415-2249

Phone 937-247-9102 · Fax 937-388-8569

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