Individual provider · Type 1 NPI

Derek Beasley, CDCA

Addiction (Substance Use Disorder) Counselor · Dayton, OH

NPI number 1841803236 Active

Practice location

4124 Linden Ave
Dayton, OH 45432-3018

Call (937) 422-2902 Map

Mailing address

2612 Lynhurst Ave
Dayton, OH 45420-2712

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X170758 (OH)

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

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About NPI 1841803236

Derek Beasley, CDCA's National Provider Identifier is 1841803236, issued on Aug 26, 2020. 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 26, 2020.