Individual
DERRON POCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 VICENTE ST, SAN FRANCISCO, CA 94116-2923
(415) 418-9704
Mailing address
1801 VICENTE ST, SAN FRANCISCO, CA 94116-2923
(415) 418-9704
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
172V00000X
172V00000X
CA
05
—
172V00000X
—
CA
Enumeration date
06/24/2014
Last updated
06/24/2014
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