Individual
MR. DEREK DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5603 CHERRY FIELD DR, INDIANAPOLIS, IN 46237-3825
(812) 459-3140
Mailing address
5603 CHERRY FIELD DR, INDIANAPOLIS, IN 46237-3825
(812) 459-3140
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
16689
—
Other
Enumeration date
12/15/2016
Last updated
10/22/2019
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