Individual provider · Type 1 NPI
Derrick Elton Crim, LADC
Addiction (Substance Use Disorder) Counselor · Minneapolis, MN
NPI number
1144515248
Active
Practice location
1911 Pleasant Ave
Minneapolis, MN 55403-3506
Fax (612) 874-9820
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 300252 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
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About NPI 1144515248
Derrick Elton Crim, LADC's National Provider Identifier is 1144515248, issued on Jun 16, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Minneapolis, MN. The record was last updated on Jun 16, 2011.