Individual provider · Type 1 NPI

Darla D. Derrickson, CDCA QMHS CMS

Addiction (Substance Use Disorder) Counselor · Cleveland, OH

NPI number 1962050351 Active

Practice location

3500 Carnegie Ave
Cleveland, OH 44115-2641

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Community Health Worker 172V00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.169875

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About NPI 1962050351

Darla D. Derrickson, CDCA QMHS CMS's National Provider Identifier is 1962050351, issued on Aug 28, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cleveland, OH. The record was last updated on Aug 27, 2020.