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Derek Maurice Titus SR.
Counselor in Cortland, New York
NPI 1831671460

Derek Maurice Titus SR. is a Counselor based in Cortland, NY. Derek Maurice Titus SR. practices in Cortland, NY. The NPI Number for Derek Maurice Titus SR. is 1831671460 and holds a License No. 30023 (New York).

The current practice location address for Derek Maurice Titus SR. is 165 Main St Ste A, Cortland, NY and can be reached out via phone at 607-753-0234 and via fax at 607-753-0286.

Location: 165 Main St Ste A, Cortland, NY, 13045-9723
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831671460
Provider Name
Derek Maurice Titus SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
165 Main St Ste A, Cortland, NY, 13045-9723
Phone Number
607-753-0234
Fax Number
607-753-0286
Provider Enumeration Date
08/30/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1336163963 05 NY
institution
Provider Business Practice Location Address Details
Address
165 Main St Ste A
City
Cortland
State
New York
Zip
13045-3049
Phone Number
607-753-0234
Fax Number
607-753-0286
person
Provider Business Mailing Address Details
Address
165 Main St Ste A
City
Cortland
State
New York
Zip
13045-3049
Phone Number
607-753-0234
Fax Number
607-753-0286
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
30023 (New York)
Definition
Definition to come...
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