Individual
MR. DERRICK ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8706 JEFFERSON HWY STE A, BATON ROUGE, LA 70809-2233
(225) 926-9706
(225) 926-9708
Mailing address
PO BOX 423, BAKER, LA 70704-0423
(225) 772-3334
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
5113
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/01/2015
Last updated
04/09/2024
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