Derevyanchuk, Aleksey

Derevyanchuk, Aleksey is an individual health care provider with primary practice located at 5150 Sunrise Blvd Ste F4 , Fair Oaks CA 95628-4964. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Derevyanchuk, Aleksey can be contacted via phone (888) 299-9987.

Contact Information

Primary practice address
5150 Sunrise Blvd Ste F4 Fair Oaks CA 95628-4964
Phone: (888) 299-9987
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X A058671120 California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X A058671120 California
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X A058671120 California

Profile Details

NPI number 1306435797
LBN Legal business name Derevyanchuk, Aleksey
Credentials CADC II
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2021
Last updated Jan 31st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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