Search › Wisconsin › 101Y00000X
Mark Derbas, LPC
NPI 1316205594 · on the registry since 2012
Practice
- Address
- 8503 75th St.
Suite A
Kenosha, WI 53142 - Phone
- (262) 654-9370
- Fax
- (262) 654-9379
- Organisation at this address
- Aalto Enhancement Center, S.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Additional practice sites
- 4305 Old Green Bay Rd, Mt Pleasant, WI
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-19
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 Wisconsin