Provider Demographics
NPI:1336673615
Name:REFFITT, DANIEL (LCDC II)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:REFFITT
Suffix:
Gender:M
Credentials:LCDC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 COLUMBUS AVE
Mailing Address - Street 2:SUITE 7-D
Mailing Address - City:LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45036
Mailing Address - Country:US
Mailing Address - Phone:937-701-3246
Mailing Address - Fax:
Practice Address - Street 1:777 COLUMBUS AVE
Practice Address - Street 2:SUITE 7-D
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036
Practice Address - Country:US
Practice Address - Phone:937-701-3246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-13
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)