KEITH LANE

DAYTON, OH
NPI1205699956
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH  CDCA183675)
Enumeration Date2024-02-05
Last Update Date2024-02-05
Business Address
KEITH LANE CDCA
4977 NORTHCUTT PL
DAYTON, OH 45414-3839
Phone number: 800-829-5461
Mailing Address
KEITH LANE CDCA
1001 DOUNE DR
FINDLAY, OH 45840-4427
Phone number:
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