DERECK MCCLENDON

MILWAUKEE, WI
NPI1699224584
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
101YM0800X Counselor, Mental Health
101YP2500X Counselor, Professional
Enumeration Date2016-10-03
Last Update Date2016-10-03
Business Address
-- DERECK MCCLENDON
2454 W LISBON AVE
MILWAUKEE, WI 53205-1413
Phone number: 414-562-6361
Mailing Address
-- DERECK MCCLENDON
2454 W LISBON AVE
MILWAUKEE, WI 53205-1413
Phone number: 414-562-6361