# DERRICK D THOMAS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1851834089
- **Gender:** Man
- **Credential:** CDCA, NREMT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | CDCA.172768 | OH | Yes |
| 146N00000X | Basic Emergency Medical Technician | 156613 | OH | — |
| 373H00000X | Day Training/Habilitation Specialist | 1828893 | OH | — |

## Other

- **Enumeration date:** 11/19/2016
- **Last updated:** 02/04/2020
