Derrick Thomas King
Counselor, Mental Health in Linden, TN. Individual provider (NPI-1).
NPI number1255474243
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1255474243
- Entity type
- Individual (NPI-1)
- Name
- Derrick Thomas King
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 15, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
2225 Deer Valley RoadLinden, TN 37096
Phone 931-589-2500
Mailing address
2225 Deer Valley RoadLinden, TN 37096
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