Individual
BRADLEY KECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA, CPRS
Contact information
Practice address
100 ELMWOOD PARK DR, DAYTON, OH 45449-5402
(937) 384-0580
(937) 384-0581
Mailing address
100 ELMWOOD PARK DR, DAYTON, OH 45449-5402
(937) 384-0580
(937) 384-0581
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.188574
OH
175T00000X
Peer Specialist
—
OH
Other
Enumeration date
01/11/2019
Last updated
08/27/2024
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