Individual
BILL DERKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDCII
Contact information
Practice address
3035 W BROAD ST STE 101, COLUMBUS, OH 43204-2653
(614) 272-7005
(614) 272-7008
Mailing address
3035 W BROAD ST STE 101, COLUMBUS, OH 43204-2653
(614) 272-7005
(614) 272-7008
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
121071
OH
Other
Enumeration date
09/25/2017
Last updated
07/21/2022
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