Individual
MR. JAMES R. DERRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
6830 SLAYTONVILLE RD, HACKETT, AR 72937-5150
(831) 224-4971
Mailing address
6830 SLAYTONVILLE RD, HACKETT, AR 72937-5150
(443) 985-6146
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/13/2010
Last updated
01/28/2013
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