MS. Ebony Nicole Derrickson, MSDDP
MS. Ebony Nicole Derrickson, MSDDP is a Counselor in Loganville, Georgia. Practices as a sole proprietor and works from 2 locations. Licensed in Georgia.
- Licensed in
- GA
- In the registry since
- 2022
- Specialties on file
- 3
Practice location Address checks out
125 Lee Byrd RdLoganville, GA 30052-2310
Phone: (678) 883-8609
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 2795 Main St W, Snellville, GA 30078-3164 — (678) 334-7836
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X (GA) |
|---|---|
| Counselor | Taxonomy 101Y00000X |
| Counseling Psychologist | Taxonomy 103TC1900X |
Record details
| NPI number | 1881336907 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MSDDP |
| Sole proprietor | Yes |
| NPI enumerated | April 9, 2022 |
| Last updated in NPPES | April 9, 2022 |
| Certification date | April 9, 2022 |
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