DERRICK MIKE

ALBANY, GA
NPI1881064392
Professional NameNATASHA MIKE
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: GA  LPC016713)
Enumeration Date2015-09-28
Last Update Date2026-04-23
Business Address
-- DERRICK MIKE
404 SANDS DR STE 2
ALBANY, GA 31705-2772
Phone number: 229-854-0589
Mailing Address
-- DERRICK MIKE
801 SWIFT ST
ALBANY, GA 31705-1360
Phone number: