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Mr. Derik Jamon Everett SR.
Mental Health Counselor in San Jose, California
NPI 1164567442

Derik Jamon Everett SR. is a Mental Health Counselor based in San Jose, CA and is specialized in Mental Health. Derik Jamon Everett SR. practices in San Jose, CA. The NPI Number for Derik Jamon Everett SR. is 1164567442 and holds a License No. (California).

The current practice location address for Derik Jamon Everett SR. is 230 No Morrison Ave, San Jose, CA and can be reached out via phone at 408-938-8516 and via fax at 408-295-4231.

Location: 230 No Morrison Ave, San Jose, CA, 95126-1136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164567442
Provider Name
Derik Jamon Everett SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
230 No Morrison Ave, San Jose, CA, 95126-1136
Phone Number
408-938-8516
Fax Number
408-295-4231
Provider Enumeration Date
02/21/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
230 No Morrison Ave
City
San Jose
State
California
Zip
95126-2741
Phone Number
408-938-8516
Fax Number
408-295-4231
person
Provider Business Mailing Address Details
Address
230 No Morrison Ave
City
San Jose
State
California
Zip
95126-2741
Phone Number
408-938-8516
Fax Number
408-295-4231
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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