Individual
DERRICK MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLC
Contact information
Practice address
608 WRIGHT AVE, ALMA, MI 48801-1617
(989) 463-4971
(989) 463-6515
Mailing address
608 WRIGHT AVE, ALMA, MI 48801-1617
(989) 463-4971
(989) 463-6515
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451025047
MI
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/02/2022
Last updated
06/09/2026
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