DEREK JAMES MILLSAP

SAN JOSE, CA
NPI1205330560
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  A045300817)
Enumeration Date2018-03-21
Last Update Date2018-03-21
Business Address
DEREK JAMES MILLSAP CADC-II
2001 THE ALAMEDA
SAN JOSE, CA 95126-1136
Phone number: 408-261-7777
Mailing Address
DEREK JAMES MILLSAP CADC-II
654 MARY EVELYN DR
SAN JOSE, CA 95123-5519
Phone number: 408-772-7004
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