Individual
DERRICK SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15115 RANKIN AVE, DUNLAP, TN 37327-7087
(423) 453-3278
Mailing address
15115 RANKIN AVE, DUNLAP, TN 37327-7087
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6538
TN
Other
Enumeration date
10/02/2017
Last updated
04/04/2025
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