Derek Devan Thompson, M.A. LMHC
Counselor, Mental Health in Adams Center, NY. Individual provider (NPI-1).
NPI number1619104403
StatusActive
Last updated in NPPESSep 12, 2022
Details
- NPI
- 1619104403
- Entity type
- Individual (NPI-1)
- Name
- Derek Devan Thompson
- Credential
- M.A. LMHC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 18, 2009
- Certification date
- Sep 12, 2022
- Last updated
- Sep 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 007172 | NY | Yes |
| 103TC1900X | Psychologist, Counseling | 6301014190 | MI |
Practice location
19750 Minkler RdAdams Center, NY 13606-3122
Phone 956-401-8650
Mailing address
19750 Minkler RdAdams Center, NY 13606-3122
Phone 956-401-8650
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