Individual provider · Type 1 NPI

Derek Breitenbach

Addiction (Substance Use Disorder) Counselor · Piketon, OH

NPI number 1902540123 Active

Practice location

15221 State Route 772
Piketon, OH 45661-9062

Mailing address

3587 Adams Rd
Beaver, OH 45613-9799

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1902540123

Derek Breitenbach's National Provider Identifier is 1902540123, issued on Apr 25, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Piketon, OH. The record was last updated on Apr 25, 2022.