Individual
DERRICK BURR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
253 RACE ST. SAN JOSE CA 95126, SAN JOSE, CA 95126-3757
(408) 593-1838
Mailing address
1185 PEDRO ST, SAN JOSE, CA 95126-3757
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/06/2023
Last updated
06/30/2025
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