Derek Troy Decluett
Derek Troy Decluett is an Addiction (Substance Use Disorder) Counselor in Beachwood, Ohio. Licensed in Ohio. Registered with an NPI since 2020.
- Licensed in
- OH
- In the registry since
- 2020
Practice location Address checks out
4002 Warrensville Center RdBeachwood, OH 44122-6771
Phone: (216) 561-8300
Fax: (216) 561-8301
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X (OH) |
|---|
Record details
| NPI number | 1356972376 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 29, 2020 |
| Last updated in NPPES | January 29, 2020 |
| Certification date | January 29, 2020 |
| Mailing address | 4002 Warrensville Center Rd, Beachwood, OH 44122-6771 |
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