person
Mr. Benjamin David Derrick, BIBLICALCOUNSELOR
Pastoral Counselor in Jackson, Mississippi
NPI 1356098438

Benjamin David Derrick is a Pastoral Counselor based in Madison, MS and is specialized in Pastoral. Benjamin David Derrick practices in Jackson, MS and has the professional credentials of BIBLICALCOUNSELOR. The NPI Number for Benjamin David Derrick is 1356098438 and holds a License No. 10102004 (Mississippi).

The current practice location address for Benjamin David Derrick is 4500 Interstate 55 North Frontage Rd, Jackson, MS and can be reached out via phone at 601-405-7445.

Location: 4500 Interstate 55 North Frontage Rd, Jackson, MS, 39110-6615
person
Provider Profile Details
NPI Number
1356098438
Provider Name
Benjamin David Derrick
Credential
BIBLICALCOUNSELOR
Provider Entity Type
Individual
Gender
Male
Address
4500 Interstate 55 North Frontage Rd, Jackson, MS, 39110-6615
Phone Number
601-405-7445
Fax Number
Provider Enumeration Date
03/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4500 Interstate 55 North Frontage Rd
City
State
Zip
39211
Phone Number
601-405-7445
Fax Number
person
Provider Business Mailing Address Details
Address
4500 Interstate 55 North Frontage Rd
City
State
Zip
39211
Phone Number
601-405-7445
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
License No.
10102004 (Mississippi)
Definition
Definition to come...
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