MR. DERRYCK MOORE, LADC
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1336381599
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | 301674 (MN) |
Frequently Asked Questions
NPI 1336381599 is the National Provider Identifier for MR. DERRYCK MOORE, LADC, a Counselor - Addiction (Substance Use Disorder) provider located in Plymouth, MN. This NPI was enumerated on April 1, 2009.
MR. DERRYCK MOORE, LADC practices at 12400 25TH AVE N, Plymouth, MN 55441.
Quick Facts
- NPI
- 1336381599
- Type
- Individual
- Enumerated
- Apr 1, 2009
- Last Updated
- Apr 1, 2009
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