Individual
DERRICK SINGLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
P1006043
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227574719
—
AR
Enumeration date
05/14/2008
Last updated
08/31/2020
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