Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dereck McClendon

Individual provider Counselor · NPI 1699224584

Dereck McClendon is a Counselor in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2016.

Licensed in
WI
In the registry since
2016
Specialties on file
4
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Practice location Address checks out

2454 W Lisbon Ave
Milwaukee, WI 53205-1413
Phone: (414) 562-6361
Fax: (414) 204-8689
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X (WI)
Mental Health Counselor Taxonomy 101YM0800X (WI)
Professional Counselor Taxonomy 101YP2500X (WI)

Record details

NPI number1699224584
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 3, 2016
Last updated in NPPESOctober 3, 2016

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