National Provider Identifier
Dominique Derden
Dominique Derden is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Denton, TX and a listed phone number of (940) 898-6202.
Source: public NPPES record, last updated May 21, 2021. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1083289193
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- May 21, 2021
- Last Updated
- May 21, 2021
Practice Location
- 1516 N Ruddell St
- Denton, TX 76209-3338
Phone: (940) 898-6202
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
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Biography
Dominique Derden is a Denton, Texas behavioral health provider whose public provider record identifies a focus in addiction and substance-use counseling.
Full Record
- NPI
- 1083289193
- Entity Type
- Individual
- Last Name
- Derden
- First Name
- Dominique
- Provider Other Last Name
- Ash
- Provider Other First Name
- Dominique
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1516 N Ruddell St
- Mailing City
- Denton
- Mailing State
- TX
- Mailing ZIP Code
- 76209-3338
- Mailing Country
- US
- Practice Street Address
- 1516 N Ruddell St
- Practice City
- Denton
- Practice State
- TX
- Practice ZIP Code
- 76209-3338
- Practice Country
- US
- Practice Phone
- (940) 898-6202
- Enumeration Date
- May 21, 2021
- Last Updated
- May 21, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- May 21, 2021
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)