Individual
DEREK B SLOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCA
Contact information
Practice address
2904 LORETTA DR, LEXINGTON, KY 40503-2850
(859) 618-5496
Mailing address
2904 LORETTA DR, LEXINGTON, KY 40503-2850
(859) 618-5496
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
267875
KY
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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