Mr. Derik Jamon Everett Sr.
Mr. Derik Jamon Everett Sr. is a Mental Health Counselor in San Jose, California. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
230 No Morrison Ave Sub Acute Residential Treatment SartSan Jose, CA 95126-2741
Phone: (408) 938-8516
Fax: (408) 295-4231
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1164567442 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 21, 2007 |
| Last updated in NPPES | July 8, 2007 |
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