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NPI Code Detail

MEDICARE: MR. CHRISTOPHER ALAN DEROCO

MEDICARE: MR. CHRISTOPHER ALAN DEROCO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist0730000698VA

General Provider Information

NPI Number : 1588514277
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHRISTOPHER ALAN DEROCO
Provider Business Mailing Address
First Line : 312 GRANITE AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23226-2144
Country : US
Telephone Number : 804-687-7699
Fax Number :
Provider Business Practice Location Address
First Line : 312 GRANITE AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23226-2144
Country : US
Telephone Number : 804-687-7699
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/02/2026

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Directions to “ MR. CHRISTOPHER ALAN DEROCO ” Practice Location

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