Derrick Jermell Henderson, MSCP
NPI #1356686075 in Cottondale, Florida
Provider Information
- NPI Number
- 1356686075
- Entity Type
- Individual
- Name
- Derrick Jermell Henderson, MSCP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- MSCP
- Enumeration Date
- Dec 6, 2012
- Last Updated
- Dec 6, 2012
Practice Location
- Address
- 2891 PONTIAC LOOP
- City
- Cottondale
- State
- Florida
- ZIP Code
- 32431-7321
- Phone
- (850) 209-9802
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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