Individual provider · Type 1 NPI

Dereck McClendon

Counselor · Milwaukee, WI

NPI number 1699224584 Active

Practice location

2454 W Lisbon Ave
Milwaukee, WI 53205-1413

Fax (414) 204-8689

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed

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 1699224584

Dereck McClendon's National Provider Identifier is 1699224584, issued on Oct 3, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Milwaukee, WI. The record was last updated on Oct 3, 2016.