person
Mr. Derryck Vancurk Moore, LADC
Addiction (Substance Use Disorder) Counselor in Plymouth, Minnesota
NPI 1336381599

Derryck Vancurk Moore is an Addiction (Substance Use Disorder) Counselor based in Plymouth, MN and is specialized in Addiction (Substance Use Disorder). Derryck Vancurk Moore practices in Plymouth, MN and has the professional credentials of LADC. The NPI Number for Derryck Vancurk Moore is 1336381599 and holds a License No. 301674 (Minnesota).

The current practice location address for Derryck Vancurk Moore is 12400 25Th Ave N, Plymouth, MN and can be reached out via phone at 612-220-8645 and via fax at 952-405-8090.

Location: 12400 25Th Ave N, Plymouth, MN, 55441-4008
person
Provider Profile Details
NPI Number
1336381599
Provider Name
Derryck Vancurk Moore
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
12400 25Th Ave N, Plymouth, MN, 55441-4008
Phone Number
612-220-8645
Fax Number
952-405-8090
Provider Enumeration Date
04/01/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12400 25Th Ave N
City
State
Zip
55441-4008
Phone Number
612-220-8645
Fax Number
952-405-8090
person
Provider Business Mailing Address Details
Address
12400 25Th Ave N
City
State
Zip
55441-4008
Phone Number
612-220-8645
Fax Number
952-405-8090
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
301674 (Minnesota)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.

Similar Doctors in Plymouth, Minnesota: