Provider Demographics
NPI:1881577724
Name:HELFRICH, DEREK RAY (NONE)
Entity type:Individual
Prefix:
First Name:DEREK
Middle Name:RAY
Last Name:HELFRICH
Suffix:
Gender:M
Credentials:NONE
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Mailing Address - Street 1:19401 SUSAN WAY
Mailing Address - Street 2:SONORA
Mailing Address - City:CALIF
Mailing Address - State:CA
Mailing Address - Zip Code:95370
Mailing Address - Country:US
Mailing Address - Phone:209-588-7018
Mailing Address - Fax:209-396-3345
Practice Address - Street 1:19331 SUSAN WAY
Practice Address - Street 2:
Practice Address - City:SONORA
Practice Address - State:CA
Practice Address - Zip Code:95370-9209
Practice Address - Country:US
Practice Address - Phone:209-396-2948
Practice Address - Fax:209-396-3345
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility