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Derrick Mike
Pastoral Counselor in Albany, Georgia
NPI 1881064392

Derrick Mike is a Pastoral Counselor based in Albany, GA and is specialized in Pastoral. Derrick Mike practices in Albany, GA. The NPI Number for Derrick Mike is 1881064392 and holds a License No. (Georgia).

The current practice location address for Derrick Mike is 801 Swift St, Albany, GA and can be reached out via phone at 229-854-0589.

Location: 801 Swift St, Albany, GA, 31705-1360
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881064392
Provider Name
Derrick Mike
Credential
Provider Entity Type
Individual
Gender
Male
Address
801 Swift St, Albany, GA, 31705-1360
Phone Number
229-854-0589
Fax Number
Provider Enumeration Date
09/28/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
801 Swift St
City
Albany
State
Georgia
Zip
31705-1360
Phone Number
229-854-0589
Fax Number
person
Provider Business Mailing Address Details
Address
801 Swift St
City
Albany
State
Georgia
Zip
31705-1360
Phone Number
229-854-0589
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
101YP1600X
License No.
()
Definition
Definition to come...
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