Individual
ASHLEY DERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCHMCA, LCASA
Contact information
Practice address
120 COASTAL HORIZONS DR, SHALLOTTE, NC 28470-6094
(910) 754-4515
(910) 202-9966
Mailing address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 399-3755
(910) 202-9966
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-25961
NC
101YM0800X
Mental Health Counselor
A16415
NC
101YP2500X
Professional Counselor
Primary
A16415
NC
Other
Enumeration date
08/22/2019
Last updated
05/06/2021
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