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

Mr. Derrick Leigh Kaufman Jr., LICDC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1073173498

Mr. Derrick Leigh Kaufman Jr., LICDC is an Addiction (Substance Use Disorder) Counselor in Dayton, Ohio. Licensed in Ohio. Registered with an NPI since 2019.

Licensed in
OH
In the registry since
2019

Practice location Address checks out

4977 Northcutt Pl
Dayton, OH 45414-3839
Phone: (937) 387-6395
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 · Licence LICDC162158 (OH)

Record details

NPI number1073173498
Entity typeIndividual (Type 1)
GenderMale
Credentials LICDC
Sole proprietorNo
NPI enumeratedJune 18, 2019
Last updated in NPPESAugust 30, 2023
Certification dateAugust 30, 2023

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