Derrell Anthony Fuqua Sr.
CDCA | Addiction (Substance Use Disorder) Counselor
2529 Bridgeport Dr, Dayton
Ohio, 45406-1433
937-278-0869 Maps & DirectionsDerrell Anthony Fuqua Sr. is a Dayton, Ohio based counselor who is specialized as Addiction (Substance Use Disorder) Counselor. Active license number of Derrell Anthony Fuqua Sr. is 169214 for Addiction (Substance Use Disorder) Counselor in Ohio. His current practice location is 2529 Bridgeport Dr, Dayton. Patients can book an appointment with him at 937-278-0869.
Derrell Anthony Fuqua Sr. is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. He helps his clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.
Complete Profile:
Derrell Anthony Fuqua Sr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Derrell Anthony Fuqua Sr. |
| Specialization: | Addiction (Substance Use Disorder) Counselor |
| Gender: | Male |
| Credentials: | CDCA |
| Accepts Medicare Assignment: | No |
| Practice Address: | 2529 Bridgeport Dr, Dayton,
Ohio, 45406-1433 |
| Phone: | 937-278-0869 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1780158444 |
| NPI Enumeration Date: | 16 Jan, 2019 |
| NPI Last Update On: | 16 Jan, 2019 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Derrell Anthony Fuqua Sr. are as mentioned below.
| License Number | Specialization | State | Status | |
| 169214 | Addiction (Substance Use Disorder) Counselor | Ohio | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2529 Bridgeport Dr,
Dayton, Ohio |
| Zip: | 45406-1433 |
| Phone Number: | 937-278-0869 |
Patients can reach Derrell Anthony Fuqua Sr. at
2529 Bridgeport Dr, Dayton, Ohio or can
call to book an appointment on 937-278-0869.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.