Bradley Keck, CDCA, CPRS
Counselor, Addiction (Substance Use Disorder) in Dayton, OH. Individual provider (NPI-1).
NPI number1215401302
StatusActive
Last updated in NPPESAug 27, 2024
Details
- NPI
- 1215401302
- Entity type
- Individual (NPI-1)
- Name
- Bradley Keck
- Credential
- CDCA, CPRS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 11, 2019
- Certification date
- Aug 27, 2024
- Last updated
- Aug 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CDCA.188574 | OH | Yes |
| 175T00000X | Peer Specialist | – | OH |
Practice location
100 Elmwood Park DrDayton, OH 45449-5402
Phone 937-384-0580 · Fax 937-384-0581
Mailing address
100 Elmwood Park DrDayton, OH 45449-5402
Phone 937-384-0580 · Fax 937-384-0581
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All 864 Addiction (Substance Use Disorder) Counselor providers in Dayton · All 15,314 providers in Dayton
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