DERRICK HUMPHREY

EUSTIS, FL
NPI1396999546
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH-10589)
Enumeration Date2008-11-13
Last Update Date2011-08-10
Business Address
-- DERRICK HUMPHREY MS Ed, LMHC
800 S EUSTIS ST
EUSTIS, FL 32726-4886
Phone number: 321-696-5598
Mailing Address
-- DERRICK HUMPHREY MS Ed, LMHC
PO BOX 2545
GOLDENROD, FL 32733-2545
Phone number:
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