DERRICK FORSYTHE

WARRENTON, MO
NPI1851857510
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: MO  2018040870)
Enumeration Date2019-02-18
Last Update Date2021-01-08
Business Address
DERRICK FORSYTHE LPC
1428 N STATE HIGHWAY 47
WARRENTON, MO 63383-1375
Phone number: 660-676-7526
Mailing Address
DERRICK FORSYTHE LPC
2204 APPLEROCK DR
O FALLON, MO 63368-3855
Phone number: 660-676-7526