MR. Derik Green, MSW, QMHP-T
NPI #1013595776 in Virginia Beach, Virginia
Provider Information
- NPI Number
- 1013595776
- Entity Type
- Individual
- Name
- MR. Derik Green, MSW, QMHP-T
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- MSW, QMHP-T
- Enumeration Date
- Apr 1, 2021
- Last Updated
- Apr 1, 2021
Practice Location
- Address
- 291 INDEPENDENCE BLVD STE 532
- City
- Virginia Beach
- State
- Virginia
- ZIP Code
- 23462-5473
- Phone
- (757) 962-6889
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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