Individual provider · Type 1 NPI

Derick Allen Eidson

Mental Health Counselor · Ada, OK

NPI number 1811339294 Active

Practice location

19108 County Road 3560
Ada, OK 74820-0177

Call (580) 421-1800 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1811339294

Derick Allen Eidson's National Provider Identifier is 1811339294, issued on Jul 25, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ada, OK. The record was last updated on Jul 25, 2013.