Proctor, Derylene

Proctor, Derylene is an sole proprietor health care provider with primary practice located at 5773 N Salt Rd , Monticello FL 32344-5173. She recently has 4 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Proctor, Derylene can be contacted via phone (850) 544-3045.

Contact Information

Primary practice address
5773 N Salt Rd Monticello FL 32344-5173
Phone: (850) 544-3045
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X AC# 6530425 Florida

Profile Details

NPI number 1710351986
LBN Legal business name Proctor, Derylene
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 25th, 2015
Last updated Nov 25th, 2015 - about 10 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.

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