Individual provider · Type 1 NPI
Derrik Hunter Mattox-Hanson
Counselor · Chehalis, WA
NPI number
1245038017
Active
Practice location
500 SE Washington Ave
Chehalis, WA 98532-3058
Mailing address
PO Box 141106
Spokane Valley, WA 99214-1106
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | CG61605542 (WA) |
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 1245038017
Derrik Hunter Mattox-Hanson's National Provider Identifier is 1245038017, issued on Mar 6, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Chehalis, WA. The record was last updated on Mar 6, 2025.