Individual
DERRICK D LOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
18010 CABIN GREEN CT, ATASCOCITA, TX 77346-3405
(903) 944-8702
Mailing address
18010 CABIN GREEN CT, ATASCOCITA, TX 77346-3405
(903) 944-8702
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12122
TX
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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