Individual
DERICK KUMBA CHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LPCC
Contact information
Practice address
1919 UNIVERSITY AVE W STE 200, SAINT PAUL, MN 55104-3435
(651) 266-7999
(651) 266-7850
Mailing address
1919 UNIVERSITY AVE W STE 200, SAINT PAUL, MN 55104-3435
(651) 266-7999
(651) 266-7850
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CC
OK
101YM0800X
Mental Health Counselor
Primary
CC02604
MN
Other
Enumeration date
03/29/2010
Last updated
10/20/2025
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