Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK JOHN DERBAS, LPC
ActiveCounselor · KENOSHA, WI
Registration Details
- NPI Number
- 1316205594
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 25, 2012 (13.990830195978 yrs)
- Last Updated
- Jul 19, 2021
- License
-
1347-226 (WI)
Practice Information
- Address
-
8503 75TH ST.SUITE AKENOSHA, WI, 531427620Browse WI providers · Browse ZIP 53142
- Phone
- 2626549370
- Fax
- 2626549379
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in KENOSHA, WI
| Name | Credential | NPI |
|---|---|---|
| MARY ANDREA KISHLINE | MSW | 1316013030 |
| CAROL RENEE FOY | CTRS | 1215131230 |
| KATHLEEN BATES | — | 1437394327 |
| MR. RONALD R HOLDER | PSY.D., LPC-S | 1265748529 |
| NICHOLE MARIE JAMES | LPC, NCC | 1902175466 |
| MRS. TUANQUILLA MONTESSA THOMPSON | APSW | 1225434244 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.