DERRICK ROBERT MOODY

KALISPELL, MT
NPI1134931611
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MT  BBH-LCPC-LIC-77250)
Enumeration Date2025-01-22
Last Update Date2025-08-13
Business Address
DERRICK ROBERT MOODY
153 WEDGEWOOD LN
KALISPELL, MT 59901-2643
Phone number: 406-290-9194
Mailing Address
DERRICK ROBERT MOODY
9705 LOST PRAIRIE RD
MARION, MT 59925-9844
Phone number: 406-601-8909
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