KAMERON ANDRE MEREDITH CDCA, PEER SUPPORT
NPI 1871132472
Counselor - Addiction (Substance Use Disorder) in Dayton, OH
Active since December 30, 2019
About Kameron Andre Meredith Cdca, Peer Support NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAMERON ANDRE MEREDITH CDCA, PEER SUPPORT (NPI 1871132472) is an individual addiction (substance use disorder) provider in Dayton, Ohio, licensed in Ohio (CDCA.172261) and active in the NPI registry since December 2019.
NPPES Registry Identity
NPI1871132472
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKAMERON ANDRE MEREDITHCredential: CDCA, PEER SUPPORT
Location Address4977 NORTHCUTT PLDayton, OH 45414-3839
Mailing Address1201 Colonial DrHamilton, OH 45013-2327 · (513) 904-9313
Phone(800) 829-5461
Sole ProprietorNo
Enumeration DateDecember 30, 2019
Last NPPES UpdateJanuary 7, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
✔ NPI 1871132472 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · CDCA.172261
Also ListedPeer SpecialistTaxonomy 175T00000X · License APS003133 (OH)
4977 NORTHCUTT PL, Dayton, OH 45414
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
DAYTON, OH 45414
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871132472, enumerated as an "individual" on December 30, 2019.
The provider is located at 4977 NORTHCUTT PL DAYTON, OH 45414 and the phone number is (800) 829-5461.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).