Thompson, Derek Devan
Thompson, Derek Devan is an sole proprietor health care provider with primary practice located at 19750 Minkler Rd , Adams Center NY 13606-3122. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Thompson, Derek Devan can be contacted via phone (956) 401-8650.Contact Information
Primary practice address
19750 Minkler Rd
Adams Center NY 13606-3122
Phone: (956) 401-8650
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 6301014190 | Michigan |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 007172 | New York |
Profile Details
| NPI number | 1619104403 |
|---|---|
| LBN Legal business name | Thompson, Derek Devan |
| Credentials | M.A. LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 18th, 2009 |
| Last updated | Sep 12th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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