NPI 1013330281

Charles Deridder

Practitioner Counselor Sioux Falls, SD

Practice location

Address: 2501 W 22nd St, Sioux Falls, SD 57105-1305
Phone: (605) 336-3230
Fax: (605) 977-4405

Registered specialties

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X

Other Counselor providers in South Dakota →

Registry record

NPI: 1013330281
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jan 2014
Record last updated: 24 Jan 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.