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Derek Smith, LPC, LCDC

Counselor, Professional in Plano, TX. Individual provider (NPI-1).

NPI number1669106969
StatusActive
Last updated in NPPESMay 16, 2024

Details

NPI
1669106969
Entity type
Individual (NPI-1)
Name
Derek Smith
Credential
LPC, LCDC
Sex
Male
Sole proprietor
No
Enumeration date
Jul 12, 2022
Certification date
May 16, 2024
Last updated
May 16, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional84781TXYes
101Y00000X Counselor84781TX
101YA0400X Counselor, Addiction (Substance Use Disorder)84781TX
101YA0400X Counselor, Addiction (Substance Use Disorder)16033TX

Practice location

700 E Park Blvd Ste 206
Plano, TX 75074-5472

Phone 972-212-9175

Mailing address

281 Stephanie Ln
Prosper, TX 75078-8513

Phone 214-543-2464

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