NPI 1962395418

Derrick Tyrone Gillard, CHWNDPPLCCCDCMI

Practitioner Health & Wellness Coach Marquette, MI

Practice location

Address: 249 Oakridge Dr, Marquette, MI 49855-8864
Phone: (248) 573-9465

Registered specialties (4)

Health & Wellness Coach Primary

Other Service Providers Taxonomy 171400000X

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Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

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Pastoral Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP1600X

Driver

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1962395418
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jun 2025
Record last updated: 2 Jun 2025

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.