Individual
DERRICK SHOWDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
1649 BRICE RD STE C, REYNOLDSBURG, OH 43068-2796
(614) 300-5878
Mailing address
1649 BRICE RD STE C, REYNOLDSBURG, OH 43068-2796
(614) 300-5878
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/24/2019
Last updated
05/24/2019
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