Individual
DERRICK DEWS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHP-C
Contact information
Practice address
203 OMNI PL, FOREST, VA 24551-1133
(434) 229-7971
Mailing address
203 OMNI PL, FOREST, VA 24551-1133
(434) 229-7971
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
VA
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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