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Derick Allen Duston, LMHC
Counselor in Fort Myers, Florida
NPI 1487175709

Derick Allen Duston is a Counselor based in Fort Myers, FL. Derick Allen Duston practices in Fort Myers, FL and has the professional credentials of LMHC. The NPI Number for Derick Allen Duston is 1487175709 and holds a License No. MH14792 (Florida).

The current practice location address for Derick Allen Duston is 12550 New Brittany Blvd Ste 201, Fort Myers, FL and can be reached out via phone at 239-343-9180 and via fax at 239-343-9188.

Location: 12550 New Brittany Blvd Ste 201, Fort Myers, FL, 33902-2147
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487175709
Provider Name
Derick Allen Duston
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
12550 New Brittany Blvd Ste 201, Fort Myers, FL, 33902-2147
Phone Number
239-343-9180
Fax Number
239-343-9188
Provider Enumeration Date
06/28/2017
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MH14792 01 FL MH LICENSE
021497400 05 FL
institution
Provider Business Practice Location Address Details
Address
12550 New Brittany Blvd Ste 201
City
Fort Myers
State
Florida
Zip
33907-3655
Phone Number
239-343-9180
Fax Number
239-343-9188
person
Provider Business Mailing Address Details
Address
12550 New Brittany Blvd Ste 201
City
Fort Myers
State
Florida
Zip
33907-3655
Phone Number
239-343-9180
Fax Number
239-343-9188
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
14792 (Florida)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH14792 (Florida)
Definition
Definition to come...
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