Individual
DERRECK HERRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
UMBRELLA THERAPEUTIC SERVICES, 3300 PENNSYLVANIA AVE, SE, WASHINGTON D. C., DC 20020
(202) 878-6626
Mailing address
16926 PORTERS INN DR UNIT 303, DUMFRIES, VA 22026-2575
(703) 883-7245
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
03/06/2023
Last updated
06/07/2023
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