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Individual
MR. DERREK DANIAL ZIETZ
Active
Individual
MR. DERREK DANIAL ZIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., LMHCA, NCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2414
KS
101YM0800X
Mental Health Counselor
Primary
MC 60330693
WA
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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