Individual provider · Type 1 NPI
Derek Hartley Elder, LPC
Professional Counselor · San Antonio, TX
NPI number
1447540968
Active
Practice location
16607 Blanco Rd, Suite # 502
San Antonio, TX 78232-1913
Mailing address
4838 Camas
San Antonio, TX 78247-5566
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 63638 (TX) |
Professional Counselor: Definition to come...
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About NPI 1447540968
Derek Hartley Elder, LPC's National Provider Identifier is 1447540968, issued on Apr 18, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in San Antonio, TX. The record was last updated on Apr 18, 2011.