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

Derryck Winston Adao Roque, COUNSELOR

Individual provider Mental Health Counselor · NPI 1265262638

Derryck Winston Adao Roque, COUNSELOR is a Mental Health Counselor in Maitland, Florida. Licensed in Florida. Registered with an NPI since 2024.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

206 W Sybelia Ave
Maitland, FL 32751-4739
Phone: (407) 865-0495
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence IMH23502 (FL)

Record details

NPI number1265262638
Entity typeIndividual (Type 1)
GenderMale
Credentials COUNSELOR
Sole proprietorNo
NPI enumeratedAugust 1, 2024
Last updated in NPPESAugust 1, 2024
Certification dateAugust 1, 2024

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