Mr. Dereck Moody
Mr. Dereck Moody is a Mental Health Counselor in Jacksonville, Florida. Practices as a sole proprietor. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
1218 Hickman Rd Apt 3Jacksonville, FL 32216-1209
Phone: (904) 781-0600
Fax: (904) 781-0016
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1578905469 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 22, 2013 |
| Last updated in NPPES | July 22, 2013 |
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