Individual provider · Type 1 NPI

Derrick Roosevelt Bledsoe, CAC-1

Addiction (Substance Use Disorder) Counselor · Detroit, MI

NPI number 1477683183 Active

Practice location

13575 Lesure St
Detroit, MI 48227-3131

Call (313) 493-4410 Map

Fax (313) 493-4415

Mailing address

13731 Allonby St
Detroit, MI 48227-3031

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1477683183

Derrick Roosevelt Bledsoe, CAC-1's National Provider Identifier is 1477683183, issued on Mar 6, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Detroit, MI. The record was last updated on Jul 8, 2007.