Mr. Derryck Vancurk Moore
LADC | Addiction (Substance Use Disorder) Counselor
12400 25th Ave N, Plymouth
Minnesota, 55441-4008
612-220-8645 952-405-8090
Maps & DirectionsMr. Derryck Vancurk Moore is a Plymouth, Minnesota based counselor who is specialized as Addiction (Substance Use Disorder) Counselor. Active license number of Mr. Derryck Vancurk Moore is 301674 for Addiction (Substance Use Disorder) Counselor in Minnesota. His current practice location is 12400 25th Ave N, Plymouth. Patients can book an appointment with him at 612-220-8645.
Mr. Derryck Vancurk Moore is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. He helps his clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.
Complete Profile:
Mr. Derryck Vancurk Moore speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Mr. Derryck Vancurk Moore |
| Specialization: | Addiction (Substance Use Disorder) Counselor |
| Gender: | Male |
| Credentials: | LADC |
| Accepts Medicare Assignment: | No |
| Practice Address: | 12400 25th Ave N, Plymouth,
Minnesota, 55441-4008 |
| Phone: | 612-220-8645 |
| Fax: | 952-405-8090 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1336381599 |
| NPI Enumeration Date: | 01 Apr, 2009 |
| NPI Last Update On: | 01 Apr, 2009 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Derryck Vancurk Moore are as mentioned below.
| License Number | Specialization | State | Status | |
| 301674 | Addiction (Substance Use Disorder) Counselor | Minnesota | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 12400 25th Ave N,
Plymouth, Minnesota |
| Zip: | 55441-4008 |
| Phone Number: | 612-220-8645 |
| Fax Number: | 952-405-8090 |
Patients can reach Mr. Derryck Vancurk Moore at
12400 25th Ave N, Plymouth, Minnesota or can
call to book an appointment on 612-220-8645.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.