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NPI Code Detail

MEDICARE: MR. DONALD JOE BENNINGTON CDCA

MEDICARE: MR. DONALD JOE BENNINGTON CDCA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorOH

General Provider Information

NPI Number : 1235006487
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DONALD JOE BENNINGTON CDCA
Provider Business Mailing Address
First Line : 1 ELIZABETH PL
Second Line :
City : DAYTON
State : OH
Zip : 45417-3445
Country : US
Telephone Number : 937-813-1737
Fax Number :
Provider Business Practice Location Address
First Line : 1 ELIZABETH PL
Second Line :
City : DAYTON
State : OH
Zip : 45417-3445
Country : US
Telephone Number : 937-813-1737
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2025
Last Update Date : 04/13/2026

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Directions to “ MR. DONALD JOE BENNINGTON CDCA” Practice Location

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