Individual
DERRIUS D BOBBITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
90 E MAIN ST, WEST JEFFERSON, OH 43162-1206
(614) 893-6790
Mailing address
90 E MAIN ST, WEST JEFFERSON, OH 43162-1206
(614) 893-6790
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.182698
OH
171M00000X
Case Manager/Care Coordinator
CDCA.182698
OH
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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