Individual
DERRICK MAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
185 HOSPITAL LN, TERRE HAUTE, IN 47802-4247
(812) 243-9954
Mailing address
185 HOSPITAL LN, TERRE HAUTE, IN 47802-4247
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C1-5066
IN
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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