Individual provider · Type 1 NPI
Connie J. Derus
Professional Counselor · Acme, WA
NPI number
1821642406
Active
Practice location
5133 Turkington Rd
Acme, WA 98220-9638
Mailing address
PO Box 98
Acme, WA 98220-0098
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 60303063 (WA) |
Professional Counselor: Definition to come...
About NPI 1821642406
Connie J. Derus's National Provider Identifier is 1821642406, issued on Jul 31, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Acme, WA. The record was last updated on Jul 31, 2019.