Individual provider · Type 1 NPI
Tiffany Ann Derrick, LPC-I
Counselor · Fort Worth, TX
NPI number
1689888570
Active
Practice location
4274 Cadiz Dr
Fort Worth, TX 76133-5412
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 62801 (TX) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1689888570
Tiffany Ann Derrick, LPC-I's National Provider Identifier is 1689888570, issued on May 9, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Fort Worth, TX. The record was last updated on Jul 8, 2007.