Individual
BRONSON BEATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
4977 NORTHCUTT PL, DAYTON, OH 45414-3839
(937) 387-6395
Mailing address
11099 HUDSON RD, GREENFIELD, OH 45123-9246
(740) 505-4546
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.183615
OH
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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