Individual
DERRICK BLEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
1910 FAIRGROVE AVE STE E, HAMILTON, OH 45011-1930
(513) 299-4025
Mailing address
1910 FAIRGROVE AVE STE E, HAMILTON, OH 45011-1930
(513) 299-4025
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.194736
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/30/2024
Last updated
01/06/2026
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