Dorothy J Derda LMHC

NPI 1659559482 - Counselor - 101YM0800X

NPI Details
NPI 1659559482
Gender Female
Enumeration Date 02/04/2008
Last Updated 02/04/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
MISHAWAKA IN, 46544-1626, US
Phone (574) 533-1234
Fax (574) 537-2652
Business Location
PO BOX 809
GOSHEN IN, 46527-0809, US
Phone (574) 533-1234
Fax (574) 537-2652
Taxonomy Code 101YM0800X
License State Indiana
License Number 39000597A
Remove 1659559482 NPI Number

According to our database, Dorothy J Derda LMHC NPI is 1659559482, taxonomy code is 101YM0800X and license number is 39000597A, license state is located at Indiana. Dorothy J Derda LMHC physically located at 1411 Lincolnway W, Mishawaka IN, 46544-1626. NPI Number Dorothy J Derda LMHC has the Individual type.

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1659559482 NPI number is provided on an as is basis without warranty of any kind. 1659559482 is maintained by the National Plan & Provider Enumeration System. The contents of Dorothy J Derda LMHC are for informational purposes only.