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Mr. Derek Wayne Stricklin, PLPC
Emotionally Disturbed Childrens' Residential Treatment Facility in Fredericktown, Missouri
NPI 1598044083

Derek Wayne Stricklin is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Fredericktown, MO. Derek Wayne Stricklin practices in Fredericktown, MO and has the professional credentials of PLPC. The NPI Number for Derek Wayne Stricklin is 1598044083 and holds a License No. 2011025373 (Missouri).

The current practice location address for Derek Wayne Stricklin is 1800 Madison 257, Fredericktown, MO and can be reached out via phone at 573-783-4400 and via fax at 573-783-4409.

Location: 1800 Madison 257, Fredericktown, MO, 63645-8273
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598044083
Provider Name
Derek Wayne Stricklin
Credential
PLPC
Provider Entity Type
Individual
Gender
Male
Address
1800 Madison 257, Fredericktown, MO, 63645-8273
Phone Number
573-783-4400
Fax Number
573-783-4409
Provider Enumeration Date
08/15/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1800 Madison 257
City
Fredericktown
State
Missouri
Zip
63645-8273
Phone Number
573-783-4400
Fax Number
573-783-4409
person
Provider Business Mailing Address Details
Address
1800 Madison 257
City
Fredericktown
State
Missouri
Zip
63645-8273
Phone Number
573-783-4400
Fax Number
573-783-4409
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
2011025373 (Missouri)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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