Individual
DERRICK GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRADC
Contact information
Practice address
895 STATE HIGHWAY 248 STE C, BRANSON, MO 65616-4013
(417) 544-8394
Mailing address
104 CASTLE LN, HIGHLANDVILLE, MO 65669-8096
(417) 838-6818
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1364
MO
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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