Individual provider · Type 1 NPI

Derrick Lemond Tucker, CO61083856

Addiction (Substance Use Disorder) Counselor · Buena, WA

NPI number 1770179400 Active

Practice location

201 Highland Dr
Buena, WA 98921-0139

Call (509) 865-6705 Map

Mailing address

120 S 3rd St
Yakima, WA 98901-2875

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1770179400

Derrick Lemond Tucker, CO61083856's National Provider Identifier is 1770179400, issued on Dec 16, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Buena, WA. The record was last updated on Dec 16, 2020.