Individual provider · Type 1 NPI

Derek Disponette

Addiction (Substance Use Disorder) Counselor · Louisville, KY

NPI number 1720340920 Active

Practice location

2210 Tucker Station Rd
Louisville, KY 40299-4525

Call (502) 589-8600 Map

Fax (502) 589-8771

Mailing address

101 W Muhammad Ali Blvd
Louisville, KY 40202-1423

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1720340920

Derek Disponette's National Provider Identifier is 1720340920, issued on Jun 13, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Louisville, KY. The record was last updated on Jun 13, 2012.