Individual
AUSTIN DERDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPCA
Contact information
Practice address
216 W 7TH ST, HOPKINSVILLE, KY 42240-2104
(270) 632-2450
Mailing address
216 W 7TH ST, HOPKINSVILLE, KY 42240-2104
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
264192
KY
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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