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DERRICK LAMONT BRYANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CDCA

Contact information

Practice address
5609 HAMILTON AVE, CINCINNATI, OH 45224-3113
(513) 542-1885
Mailing address
2600 VICTORY PKWY, CINCINNATI, OH 45206-1395
(513) 751-7747

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.180316
OH
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
03/17/2023
Last updated
03/23/2023
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