Individual
MR. DERRICK GUTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
1422 W SAGINAW ST, EAST LANSING, MI 48823-2434
(517) 775-3871
(517) 657-2466
Mailing address
1422 W SAGINAW ST, EAST LANSING, MI 48823-2434
(517) 775-3871
(517) 657-2466
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401013895
MI
Other
Enumeration date
08/08/2014
Last updated
01/26/2016
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