DERIK GREEN

VIRGINIA BEACH, VA
NPI1013595776
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: VA  0734002974)
Enumeration Date2021-04-01
Last Update Date2021-04-01
Business Address
Mr. DERIK GREEN MSW, QMHP-T
291 INDEPENDENCE BLVD STE 532
VIRGINIA BEACH, VA 23462-5473
Phone number: 757-962-6889
Mailing Address
Mr. DERIK GREEN MSW, QMHP-T
291 INDEPENDENCE BLVD STE 532
VIRGINIA BEACH, VA 23462-5473
Phone number: 757-962-6889
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