Individual
JUSTIN DERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
4361 MONROE AVE, GRANVILLE, IA 51022-7531
(712) 334-0083
Mailing address
4361 MONROE AVE, GRANVILLE, IA 51022-7531
(712) 334-0083
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
113268
IA
Other
Enumeration date
07/11/2024
Last updated
11/04/2025
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