DERRICK WHITE

STATEN ISLAND, NY
NPI1437821790
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NY  37149)
Enumeration Date2021-10-04
Last Update Date2021-10-04
Business Address
DERRICK WHITE CASAC-T,CRPA
3911 RICHMOND AVE
STATEN ISLAND, NY 10312-5110
Phone number: 718-948-3232
Mailing Address
DERRICK WHITE CASAC-T,CRPA
321 ODER AVE
STATEN ISLAND, NY 10304-3327
Phone number: 917-674-9368
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