Individual
MR. DERRICK C MANORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
7085 SYDNEY CURV, MONTGOMERY, AL 36117-3509
(334) 270-5502
Mailing address
7012 CADDIE CV, MONTGOMERY, AL 36116-6029
(334) 467-4071
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2263
AL
Other
Enumeration date
01/23/2018
Last updated
07/08/2019
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