Individual
MR. DEREK KRIST SKAPARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDCI
Contact information
Practice address
1205 W UNIVERSITY BLVD, ODESSA, TX 79764-7119
(432) 614-5720
(877) 729-4033
Mailing address
2300 N MUSKINGUM AVE, B, ODESSA, TX 79761-1246
(602) 768-8818
(877) 729-4033
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24323
TX
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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