Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenyatta Staten, CDCA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1689395055

Kenyatta Staten, CDCA is an Addiction (Substance Use Disorder) Counselor in Athens, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2022

Practice location Address checks out

400 E State St Ste D
Athens, OH 45701-1870
Phone: (740) 326-6110
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDCA185754 (OH)

Record details

NPI number1689395055
Entity typeIndividual (Type 1)
GenderFemale
Credentials CDCA
Sole proprietorYes
NPI enumeratedSeptember 6, 2022
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 24, 2025
Mailing address2110 S Smithville Rd, Kettering, OH 45420-1437

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