Individual provider · Type 1 NPI
Benjamin David Derrick, BIBLICAL COUNSELOR
Pastoral Counselor · Jackson, MS
NPI number
1356098438
Active
Practice location
4500 Interstate 55 North Frontage Rd, Ste 279
Jackson, MS 39211
Mailing address
173 Buckhead Dr
Madison, MS 39110-6615
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pastoral Counselor Primary | 101YP1600X | 10102004 (MS) |
Pastoral Counselor: Definition to come...
Other pastoral counselor providers in Jackson
About NPI 1356098438
Benjamin David Derrick, BIBLICAL COUNSELOR's National Provider Identifier is 1356098438, issued on Mar 8, 2022. The primary taxonomy on file is Pastoral Counselor (101YP1600X), and the practice location is in Jackson, MS. The record was last updated on Mar 8, 2022.