Derrick Marquis Ward Jr.
Counselor, Mental Health in San Francisco, CA. Individual provider (NPI-1).
NPI number1477356293
StatusActive
Last updated in NPPESMar 28, 2025
Details
- NPI
- 1477356293
- Entity type
- Individual (NPI-1)
- Name
- Derrick Marquis Ward Jr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 28, 2025
- Certification date
- Mar 28, 2025
- Last updated
- Mar 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | CA | Yes |
Practice location
750 33rd AveSan Francisco, CA 94121-3428
Phone 415-668-0190
Mailing address
750 33rd AveSan Francisco, CA 94121-3428
Phone 415-668-0190
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