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Individual
DEREK SMITH
Active
Individual
DEREK SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LCDC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
84781
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
16033
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
84781
TX
101YP2500X
Professional Counselor
Primary
84781
TX
Other
Enumeration date
07/12/2022
Last updated
05/16/2024
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