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Individual
DERRICK DURELL HARTWELL
Active
Individual
DERRICK DURELL HARTWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLMSW, CADC, CCS-D
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6801102071
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
6801102071
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
680141564
MI
101YM0800X
Mental Health Counselor
6801102071
MI
1041C0700X
Clinical Social Worker
Primary
6801102071
MI
Other
Enumeration date
05/10/2013
Last updated
08/22/2022
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