DERRICK MOODY
Counselor - Professional
Active
Individual
NPI: 1134931611
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Professional | 101YP2500X | Yes | BBH-LCPC-LIC-77250 (MT) |
Frequently Asked Questions
NPI 1134931611 is the National Provider Identifier for DERRICK MOODY, a Counselor - Professional provider located in Kalispell, MT. This NPI was enumerated on January 22, 2025.
DERRICK MOODY practices at 153 WEDGEWOOD LN, Kalispell, MT 59901.
Quick Facts
- NPI
- 1134931611
- Type
- Individual
- Enumerated
- Jan 22, 2025
- Last Updated
- Nov 10, 2025
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