Individual provider · Type 1 NPI

Bradley Keck, CDCA, CPRS

Addiction (Substance Use Disorder) Counselor · Dayton, OH

NPI number 1215401302 Active

Practice location

100 Elmwood Park Dr
Dayton, OH 45449-5402

Call (937) 384-0580 Map

Fax (937) 384-0581

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.188574 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1215401302

Bradley Keck, CDCA, CPRS's National Provider Identifier is 1215401302, issued on Jan 11, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dayton, OH. The record was last updated on Aug 27, 2024.