Individual
BRAD BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
446 MORGAN ST, CINCINNATI, OH 45206-2348
(513) 834-7063
Mailing address
615 ELSINORE PL STE 300, CINCINNATI, OH 45202-1475
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
177545
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177545
—
OH
Enumeration date
08/10/2021
Last updated
08/10/2021
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