Individual
DENNIS TODD BREYFOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
1134 JACKSON PIKE, GALLIPOLIS, OH 45631
(740) 446-9129
(740) 446-9021
Mailing address
1134 JACKSON PIKE, GALLIPOLIS, OH 45631-2600
(740) 446-9129
(740) 446-9021
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.167580
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CDCA.167580
SUBSTANCE ABUSE
OH
Enumeration date
11/20/2018
Last updated
05/18/2021
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