Individual
DERRICK SHILO BETTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
2813 STEEPLE ROCK DR, FREDERICK, CO 80516-9521
(208) 724-3024
Mailing address
2813 STEEPLE ROCK DR, FREDERICK, CO 80516-9521
(208) 724-3024
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC.0021224
CO
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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