Individual
DERRELL ANTHONY FUQUA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
2529 BRIDGEPORT DR, DAYTON, OH 45406-1433
(937) 278-0869
Mailing address
2529 BRIDGEPORT DR, DAYTON, OH 45406-1433
(937) 278-0869
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
169214
OH
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us