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Individual

DERRICK DAGGETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
4897 KARL RD, COLUMBUS, OH 43229-5147
(614) 261-3196
Mailing address
4897 KARL RD, COLUMBUS, OH 43229-5147
(614) 261-3196

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.2202930-SUPV
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C.1901952
COUNSELOR, SOCIAL WORKER & MFT BOARD
OH
Enumeration date
03/22/2018
Last updated
12/02/2024
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