Individual
MATTHEW R DERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
860 LYNN ST, LEBANON, MO 65536-3810
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2024045264
MO
101YM0800X
Mental Health Counselor
A2302033
AR
101YP2500X
Professional Counselor
Primary
2026006788
MO
Other
Enumeration date
09/20/2023
Last updated
02/11/2026
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