Individual
MARCUS JAMES DERAMUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
131 MARKET PL, MONTGOMERY, AL 36117-4900
(334) 538-9853
Mailing address
170 ABERCORN DR, DEATSVILLE, AL 36022-5539
(334) 538-9853
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
AL
133N00000X
Nutritionist
—
AL
171000000X
Military Health Care Provider
—
AL
171000000X
Military Health Care Provider
—
—
221700000X
Art Therapist
—
AL
225X00000X
Occupational Therapist
—
AL
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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