Individual
DERRION COLVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
280 BRIDGE ST STE 110, DEDHAM, MA 02026-1759
(781) 320-7646
Mailing address
601 BROADMOOR DR APT F, CHESTERFIELD, MO 63017-3154
(314) 368-3542
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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