DERICK ALLEN DUSTON

FORT MYERS, FL
NPI1487175709
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH14792)
Additional Taxonomies101Y00000X Counselor
(Licence: FL  14792)
Enumeration Date2017-06-28
Last Update Date2024-09-11
Business Address
DERICK ALLEN DUSTON LMHC
12550 NEW BRITTANY BLVD STE 201
FORT MYERS, FL 33907-3655
Phone number: 239-343-9180
Mailing Address
DERICK ALLEN DUSTON LMHC
PO BOX 2147
FORT MYERS, FL 33902-2147
Phone number: 239-343-9180