person
Derrick Elton Crim, LADC
Addiction (Substance Use Disorder) Counselor in Minneapolis, Minnesota
NPI 1144515248

Derrick Elton Crim is an Addiction (Substance Use Disorder) Counselor based in Minneapolis, MN and is specialized in Addiction (Substance Use Disorder). Derrick Elton Crim practices in Minneapolis, MN and has the professional credentials of LADC. The NPI Number for Derrick Elton Crim is 1144515248 and holds a License No. 300252 (Minnesota).

The current practice location address for Derrick Elton Crim is 1911 Pleasant Ave, Minneapolis, MN and can be reached out via phone at 612-874-9811 and via fax at 612-874-9820.

Location: 1911 Pleasant Ave, Minneapolis, MN, 55403-3506
person
Provider Profile Details
NPI Number
1144515248
Provider Name
Derrick Elton Crim
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
1911 Pleasant Ave, Minneapolis, MN, 55403-3506
Phone Number
612-874-9811
Fax Number
612-874-9820
Provider Enumeration Date
06/16/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300252 01 MN LICENSED ALCOHOL ANED DRUG COUNSELOR
institution
Provider Business Practice Location Address Details
Address
1911 Pleasant Ave
City
State
Zip
55403-3506
Phone Number
612-874-9811
Fax Number
612-874-9820
person
Provider Business Mailing Address Details
Address
1911 Pleasant Ave
City
State
Zip
55403-3506
Phone Number
612-874-9811
Fax Number
612-874-9820
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
300252 (Minnesota)
Definition
Definition to come...
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