Individual
DERRICK HUSSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASACT
Contact information
Practice address
8 E 3RD ST, 2ND FLOOR, NEW YORK, NY 10003-8908
(212) 763-0596
Mailing address
244 MADISON AVE APT 3B, NEW YORK, NY 10016-2810
(212) 681-9120
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18980
NY
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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