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Individual

LAKRYSTA WEBSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
605 S PATTERSON BLVD, DAYTON, OH 45402-2649
(937) 395-4600
Mailing address
605 S PATTERSON BLVD, DAYTON, OH 45402-2649
(937) 963-7156

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA173575
OH
171M00000X
Case Manager/Care Coordinator
Primary
172A00000X
Driver
Primary
RU386424
OH

Other

Enumeration date
09/15/2020
Last updated
05/05/2026
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