Individual
MR. DERICK B PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.D, LPC, LMHC, NCC
Contact information
Practice address
2050 A 2ND ST SE, KIRTLAND AFB, NM 87117-5901
(505) 846-3200
Mailing address
9730 HIGHWAY 238, JACKSONVILLE, OR 97530-9601
(541) 841-8591
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
RC60018183
WA
101YM0800X
Mental Health Counselor
LH60210091
WA
101YP2500X
Professional Counselor
Primary
713
AK
Other
Enumeration date
08/04/2008
Last updated
02/26/2026
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