Individual
DEREK BREITENBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15221 STATE ROUTE 772, PIKETON, OH 45661-9062
(740) 493-4260
Mailing address
3587 ADAMS RD, BEAVER, OH 45613-9799
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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