Derrick James Derksen, BA CADC Candidate
Case Manager/Care Coordinator in Oklahoma City, OK. Individual provider (NPI-1).
NPI number1184182016
StatusActive
Last updated in NPPESMar 11, 2019
Details
- NPI
- 1184182016
- Entity type
- Individual (NPI-1)
- Name
- Derrick James Derksen
- Credential
- BA CADC Candidate
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 11, 2019
- Last updated
- Mar 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | OK | Yes |
Practice location
5401 Sw 29th StOklahoma City, OK 73179-7602
Phone 405-686-7828 · Fax 405-686-7827
Mailing address
716 Royal AveMidwest City, OK 73130-2713
Phone 405-640-5220 · Fax 405-686-7827
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All 1,458 Case Manager/Care Coordinator providers in Oklahoma City · All 27,799 providers in Oklahoma City
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