person
Mr. Derik Green, MSW,QMHP-T
Mental Health Counselor in Virginia Beach, Virginia
NPI 1013595776

Derik Green is a Mental Health Counselor based in Virginia Beach, VA and is specialized in Mental Health. Derik Green practices in Virginia Beach, VA and has the professional credentials of MSW,QMHP-T. The NPI Number for Derik Green is 1013595776 and holds a License No. 0734002974 (Virginia).

The current practice location address for Derik Green is 291 Independence Blvd Ste 532, Virginia Beach, VA and can be reached out via phone at 757-962-6889.

Location: 291 Independence Blvd Ste 532, Virginia Beach, VA, 23462-5473
person
Provider Profile Details
NPI Number
1013595776
Provider Name
Derik Green
Credential
MSW,QMHP-T
Provider Entity Type
Individual
Gender
Male
Address
291 Independence Blvd Ste 532, Virginia Beach, VA, 23462-5473
Phone Number
757-962-6889
Fax Number
Provider Enumeration Date
04/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
291 Independence Blvd Ste 532
City
State
Zip
23462-5473
Phone Number
757-962-6889
Fax Number
person
Provider Business Mailing Address Details
Address
291 Independence Blvd Ste 532
City
State
Zip
23462-5473
Phone Number
757-962-6889
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0734002974 (Virginia)
Definition
Definition to come...
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