Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derrick Roosevelt Bledsoe, CAC-1

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1477683183

Derrick Roosevelt Bledsoe, CAC-1 is an Addiction (Substance Use Disorder) Counselor in Detroit, Michigan. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

13575 Lesure St
Detroit, MI 48227-3131
Phone: (313) 493-4410
Fax: (313) 493-4415
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1477683183
Entity typeIndividual (Type 1)
GenderMale
Credentials CAC-1
Sole proprietorNo
NPI enumeratedMarch 6, 2007
Last updated in NPPESJuly 8, 2007

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