Individual
BRADLEY RYAN HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
247 CIC BLVD, WEST UNION, OH 45693-7512
(513) 941-4999
Mailing address
6460 HARRISON AVE STE 200, CINCINNATI, OH 45247-7958
(513) 941-4999
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.180419
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.184559
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0484893
—
OH
Enumeration date
02/23/2022
Last updated
11/03/2023
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