Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEREK JUSTIN WALL, M.S., LPC, NCC
Active Sole ProprietorDEREK JUSTIN WALL, M.S., LPC, NCC is a Professional Counselor healthcare provider located in SAINT LOUIS, Missouri. NPI 1639408214 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · SAINT LOUIS, MO
Registration Details
- NPI Number
- 1639408214
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 10, 2009 (16.638253944217 yrs)
- Last Updated
- Dec 10, 2009
- Licenses
-
2009035484 (MO)180.007223 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12400 OLIVE BLVDSUITE 205SAINT LOUIS, MO, 631415454Browse MO providers · Browse ZIP 63141
- Phone
- 3146072801
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in SAINT LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| LINDA MEDLOCK | LPC | 1568461291 |
| ERIKA LYNN RUSSINA | M.A., L.P.C. | 1336120492 |
| MS. SUE A. COBB | MA, LPC | 1669458626 |
| MS. KATHLEEN M. TOWNSEND | LPC, MED. | 1184600025 |
| MS. KIMBERLY ELAINE KEEGAN | M.S., LPC | 1821069808 |
| LAURA ANN SONBY | MA, LPC | 1508837931 |
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.