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Individual
MR. DERRICK JOHNSTON
Active
Individual
MR. DERRICK JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LRIC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704017428
VA
Other
Enumeration date
10/10/2024
Last updated
12/02/2025
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