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

Derrick Dwayne Nelson

Individual provider Counselor · NPI 1336856939

Derrick Dwayne Nelson is a Counselor in Northridge, California. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

8330 Reseda Blvd
Northridge, CA 91324-4619
Phone: (818) 996-1051
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1336856939
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 2, 2022
Last updated in NPPESNovember 2, 2022
Certification dateNovember 2, 2022
Mailing address8330 Reseda Blvd, Northridge, CA 91324-4619

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