Individual
DERRICK A CONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1705 S 24TH AVE, YAKIMA, WA 98902-5720
(509) 775-6589
(509) 204-3966
Mailing address
1705 S 24TH AVE, YAKIMA, WA 98902-5720
(509) 775-6589
(509) 204-3966
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
RC00058614
WA
101YM0800X
Mental Health Counselor
SC60113117
WA
1041C0700X
Clinical Social Worker
Primary
LW60366681
WA
Other
Enumeration date
10/22/2008
Last updated
12/28/2022
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