Individual
DERICK CARLTON WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAS-A
Contact information
Practice address
319 S WESTGATE DR STE D, GREENSBORO, NC 27407-1632
(866) 700-1606
(866) 338-5921
Mailing address
319 S WESTGATE DR STE D, GREENSBORO, NC 27407-1632
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-24422
NC
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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