Thompson, Derek Devan

Thompson, Derek Devan is an sole proprietor health care provider with primary practice located at 19750 Minkler Rd , Adams Center NY 13606-3122. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Thompson, Derek Devan can be contacted via phone (956) 401-8650.

Contact Information

Primary practice address
19750 Minkler Rd Adams Center NY 13606-3122
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 6301014190 Michigan
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 007172 New York

Profile Details

NPI number 1619104403
LBN Legal business name Thompson, Derek Devan
Credentials M.A. LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2009
Last updated Sep 12th, 2022 - about 2 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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