Derricko Stuckey

NPI #1376986638 in North Las Vegas, Nevada

Provider Information

NPI Number: 1376986638
Entity Type: Individual
Name: Derricko Stuckey
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Rehabilitation Counselor
Enumeration Date: Apr 16, 2013
Last Updated: Apr 16, 2013

Practice Location

Address: 3840 N COMMERCE ST
Address 2: 100
City: North Las Vegas
State: Nevada
ZIP Code: 89032-8104
Phone: (702) 649-5995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Rehabilitation Counselor	225C00000X	Primary

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