Douglas Derhodes, LCSW

NPI 1568695385 · on the registry since 2009 · sole proprietor

Practice

Address: 822 Hillgrove Ave
Second Floor
Western Springs, IL 60558
Phone: (773) 969-6864
Fax: (708) 300-9491
Organisation at this address: R.J. Walsh And Associates
Canopy Counseling Center Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-04-08

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 Illinois