DERRICK DURRAH

DYER, IN
NPI1861921207
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  178004569)
Enumeration Date2017-06-08
Last Update Date2022-07-21
Business Address
DERRICK DURRAH LPC
2615 JAMES DRIVE
DYER, IN 46311
Phone number: 708-228-9996
Mailing Address
DERRICK DURRAH LPC
2615 JAMES DR
DYER, IN 46311-2270
Phone number: 708-228-9996