Derrick Roosevelt Bledsoe, CAC-1 is an addiction (substance use disorder) counselor in Detroit, MI. Derrick Roosevelt Bledsoe, CAC-1 NPI is 1477683183. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
13575 LESURE ST
DETROIT, MI
ZIP 48227-131
Phone: (313) 493-4410
Fax: (313) 493-4415
The enumeration date for this NPI number is 3/6/2007 and was last updated on 7/8/2007.