Larae Derricote
Larae Derricote is a Mental Health Counselor in Indianapolis, Indiana. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1531 Wellington AveIndianapolis, IN 46219-3844
Phone: (317) 414-6294
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1770212797 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 6, 2022 |
| Last updated in NPPES | June 6, 2022 |
| Certification date | June 6, 2022 |
| Mailing address | 10141 Sandcherry Ln, Indianapolis, IN 46236-6337 |
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