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James Derisse
Mental Health Counselor in Corpus Christi, Texas
NPI 1780295170

James Derisse is a Mental Health Counselor based in Corpus Christi, TX and is specialized in Mental Health. James Derisse practices in Corpus Christi, TX. The NPI Number for James Derisse is 1780295170 and holds a License No. 84360 (Texas).

The current practice location address for James Derisse is 4818 Everhart Rd, Corpus Christi, TX and can be reached out via phone at 361-334-1437.

Location: 4818 Everhart Rd, Corpus Christi, TX, 78414-2125
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780295170
Provider Name
James Derisse
Credential
Provider Entity Type
Individual
Gender
Male
Address
4818 Everhart Rd, Corpus Christi, TX, 78414-2125
Phone Number
361-334-1437
Fax Number
Provider Enumeration Date
08/11/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4818 Everhart Rd
City
Corpus Christi
State
Texas
Zip
78411-2738
Phone Number
361-334-1437
Fax Number
person
Provider Business Mailing Address Details
Address
4818 Everhart Rd
City
Corpus Christi
State
Texas
Zip
78411-2738
Phone Number
361-334-1437
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
84360 (Texas)
Definition
Definition to come...
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