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Individual
DEREK STEWART
Active
Individual
DEREK STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED, LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
KY-1621
KY
101YP2500X
Professional Counselor
KY-1621
KY
Other
Enumeration date
01/07/2014
Last updated
10/20/2015
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