BILL DERKSON LCDCII NPI 1316456197

NPI Information

NPI: 1316456197
Provider Name: BILL DERKSON, LCDCII
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
3035 W BROAD ST STE 101
COLUMBUS, OH
ZIP 43204
Phone: (614) 272-7005
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Bill Derkson, LCDCII is an addiction (substance use disorder) counselor in Columbus, OH. Bill Derkson, LCDCII NPI is 1316456197. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3035 W BROAD ST STE 101
COLUMBUS, OH
ZIP 43204-653
Phone: (614) 272-7005
Fax: (614) 272-7008

The enumeration date for this NPI number is 9/25/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	121071	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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