Clark, Derrick Rogers

Clark, Derrick Rogers is an sole proprietor health care provider with primary practice located at 673 Westbury Dr Ste 201 , Iowa City IA 52245-2732. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Clark, Derrick Rogers can be contacted via phone (319) 356-6352.

Contact Information

Primary practice address
673 Westbury Dr Ste 201 Iowa City IA 52245-2732
Phone: (319) 356-6352
Fax: (319) 358-2367
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 2010031959 Missouri
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 072850 Iowa

Profile Details

NPI number 1609184324
LBN Legal business name Clark, Derrick Rogers
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2010
Last updated Feb 16th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers