Individual
DEREK UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
407 S 17TH AVE, YAKIMA, WA 98902-3803
(503) 388-6990
Mailing address
407 S 17TH AVE, YAKIMA, WA 98902-3803
(503) 388-6990
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
RC00056627
WA
Other
Enumeration date
01/10/2007
Last updated
02/11/2008
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