Individual
DERRICK THOMAS YEAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAPC
Contact information
Practice address
3535 S 31ST ST STE 201, GRAND FORKS, ND 58201-3593
(701) 780-6821
(701) 780-1973
Mailing address
3535 S 31ST ST STE 201, GRAND FORKS, ND 58201-3593
(701) 780-6821
(701) 780-1973
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1102-1-1-21A
ND
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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