Derrick Derksen, BA CADC CANDIDATE

NPI 1184182016 · on the registry since 2019 · sole proprietor

Practice

Address: 5401 Sw 29th St
Oklahoma City, OK 73179
Phone: (405) 686-7828
Fax: (405) 686-7827
Organisation at this address: Vcphcs Iv, Llc
Oklahoma Treatment Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 171M00000X
171M00000X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-03-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma