Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERICK ALLEN EIDSON
Active Sole ProprietorDERICK ALLEN EIDSON is a Mental Health Counselor healthcare provider located in ADA, Oklahoma. NPI 1811339294 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · ADA, OK
Registration Details
- NPI Number
- 1811339294
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 25, 2013 (13.040449791995 yrs)
- Last Updated
- Jul 25, 2013
- Sole Proprietor
- Yes
Practice Information
- Address
-
19108 COUNTY ROAD 3560ADA, OK, 748200177Browse OK providers · Browse ZIP 74820
- Phone
- 5804211800
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in ADA, OK
| Name | Credential | NPI |
|---|---|---|
| BONNIE KEELEY | MS, LPC | 1033140645 |
| MR. KENNETH LYNN GANDY | MS, LPC | 1225069925 |
| SHIRLEY THOMPSON | LPC | 1831299627 |
| KEITH FORREST CHEW | L.P.C. | 1568547966 |
| MR. CRAIG E. WILLIAMS | LPC,MC | 1336228352 |
| MR. JOHN D LUCAS | MHP 'UNDER LPC SUP' | 1740309137 |
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.