Individual
MRS. DANIELLE PAIGE DERRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3740 E SOUTHERN AVE STE 16&112, MESA, AZ 85206-2567
(602) 499-7590
Mailing address
3740 E SOUTHERN AVE STE 106&112, MESA, AZ 85206-2567
(602) 499-7590
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
Primary
20204
AZ
Other
Enumeration date
10/16/2018
Last updated
04/08/2026
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