Individual
DERRICK HOOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 ROLAND WAY, OAKLAND, CA 94621-2034
(510) 839-3800
Mailing address
3412 HEMINGWAY DR, ANTIOCH, CA 94509-5945
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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