Individual
MISSICA L DERHALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1133 RAILROAD AVE STE 100, BELLINGHAM, WA 98225-5054
(360) 393-6127
Mailing address
110 35TH ST, BELLINGHAM, WA 98225-6053
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/16/2021
Last updated
09/22/2021
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