Individual
DEREK SAMUEL THOMASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
10400 VINEYARD BLVD STE A, OKLAHOMA CITY, OK 73120-3830
(501) 551-1943
(405) 242-5345
Mailing address
10400 VINEYARD BLVD STE A, OKLAHOMA CITY, OK 73120-3830
(501) 551-1943
(405) 242-5345
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6461
OK
101YP2500X
Professional Counselor
Primary
6461
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6461
LPC
OK
01
—
M1412012
LMFT
AR
01
—
P1412112
LPC
AR
Enumeration date
04/13/2012
Last updated
07/21/2022
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