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Individual

MR. DERREK DANIAL ZIETZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S., LMHCA, NCC

Contact information

Practice address
901 BOREN AVE, SUITE 701, SEATTLE, WA 98104-3595
(206) 458-2556
(206) 456-5192
Mailing address
901 BOREN AVE, SUITE 701, SEATTLE, WA 98104-3595
(206) 458-2556
(206) 456-5192

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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