Individual provider · Type 1 NPI

Derek James Millsap, CADC-II

Addiction (Substance Use Disorder) Counselor · San Jose, CA

NPI number 1205330560 Active

Practice location

2001 The Alameda
San Jose, CA 95126-1136

Call (408) 261-7777 Map

Fax (408) 259-2273

Mailing address

654 Mary Evelyn Dr
San Jose, CA 95123-5519

Other practice locations

  • 438 N White Rd, San Jose, CA 95127-1439 · (408) 254-6828

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XA045300817 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1205330560

Derek James Millsap, CADC-II's National Provider Identifier is 1205330560, issued on Mar 21, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Jose, CA. The record was last updated on Mar 21, 2018.