Individual
ELISE DAUTREMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDCII
Contact information
Practice address
1910 FAIRGROVE AVE STE E, HAMILTON, OH 45011-1930
(513) 494-4679
Mailing address
1910 FAIRGROVE AVE STE E, HAMILTON, OH 45011-1930
(513) 494-4679
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.186715
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.190966
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCII.162117
OH
Other
Enumeration date
12/12/2023
Last updated
04/13/2026
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