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Individual
DEREK ANDERSON
Active
Individual
DEREK ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
88317
TX
172V00000X
Community Health Worker
—
—
Other
Enumeration date
03/30/2020
Last updated
11/06/2024
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