Individual
DEREK JUSTIN MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
1120 E MAIN ST, NORMAN, OK 73071-5300
(405) 573-3839
Mailing address
PO BOX 400, NORMAN, OK 73070-0400
(405) 573-3839
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7192
OK
Other
Enumeration date
06/14/2017
Last updated
07/18/2019
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