Individual
DEREK STRUCHTEMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
310 PAPER TRAIL WAY STE 106, CANTON, GA 30115-5204
(678) 880-4645
Mailing address
310 PAPER TRAIL WAY STE 106, CANTON, GA 30115-5204
(678) 880-4645
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002981
GA
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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