| Derric Brown Lcsw, Licensed Clinical Social Worker Inc. | |
|
5588 N Palm Ave Fresno CA 93704-1913 | |
| (559) 214-7774 | |
| Not Available |
| Full Name | Derric Brown Lcsw, Licensed Clinical Social Worker Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 5588 N Palm Ave, Fresno, California |
| Authorized Official Name and Position | Derric Devon Brown (PRESIDENT) |
| Authorized Official Contact | 5592147774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Derric Brown Lcsw, Licensed Clinical Social Worker Inc. 5588 N Palm Ave Fresno CA 93704-1913 Ph: (559) 214-7774 | Derric Brown Lcsw, Licensed Clinical Social Worker Inc. 5588 N Palm Ave Fresno CA 93704-1913 Ph: (559) 214-7774 |
| NPI Number | 1851925507 |
|---|---|
| Provider Enumeration Date | 03/02/2020 |
| Last Update Date | 03/02/2020 |
| Certification Date | 03/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851925507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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