Derrell Coakley Sr.
Derrell Coakley Sr. is an Addiction (Substance Use Disorder) Counselor in Conyers, Georgia. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
1315 Milstead Rd NEConyers, GA 30012-3824
Phone: (443) 225-1210
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Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X |
Record details
| NPI number | 1861259772 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 6, 2024 |
| Last updated in NPPES | March 6, 2024 |
| Certification date | January 22, 2024 |
| Mailing address | 1315 Milstead Rd Ne, Conyers, GA 30012-3824 |
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