Individual
MR. DEREK TODD LOFGREEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2650 E SOUTHERN AVE, MESA, AZ 85204-5413
(602) 779-4325
(480) 926-8985
Mailing address
1454 N ROSE CIR, MESA, AZ 85213-4016
(602) 779-4325
(480) 926-8985
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-1154
AZ
Other
Enumeration date
09/05/2005
Last updated
09/06/2023
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