Male or Other

Derek Underwood

Mental Health Counselor in Yakima, WA(View on Map)

Full Name

Derek Underwood

NPI Number

1538219928

NPI Type

Individual Provider

Gender

Male

Enumeration Date

01/10/2007

Specialties

(Taxonomies)

Code

101YM0800X

Primary Taxonomy

Yes

Licenses

State

Washington

License Number

RC00056627

Contact
Information

Purpose

Mailing
Location

Address

407 S 17TH AVE
407 S 17TH AVE

City

Yakima
Yakima

State

WA
WA

Postal Code

98902-3803
98902-3803

Country

US
US

Telephone Number

(503) 388-6990
(503) 388-6990

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/11/2008

Provider Address

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