Individual provider · Type 1 NPI

Derrick Gilbert, CRADC

Addiction (Substance Use Disorder) Counselor · Branson, MO

NPI number 1093312811 Active

Practice location

895 State Highway 248 Ste C
Branson, MO 65616-4013

Mailing address

104 Castle Ln
Highlandville, MO 65669-8096

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1364 (MO)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1093312811

Derrick Gilbert, CRADC's National Provider Identifier is 1093312811, issued on Oct 5, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Branson, MO. The record was last updated on Oct 5, 2020.