Individual provider · Type 1 NPI

Tracy Leigh Derham

Counselor · Fall River, MA

NPI number 1952467359 Active

Practice location

1563 N Main St, Suite 208
Fall River, MA 02720

Call (508) 324-1060 Map

Fax (508) 679-8590

Mailing address

225 Williston Way
Pawtucket, RI 02861

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1952467359

Tracy Leigh Derham's National Provider Identifier is 1952467359, issued on Dec 29, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Fall River, MA. The record was last updated on Jul 8, 2007.