Individual
DEDRIC VANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
29404 PACIFIC HWY S APT 302, FEDERAL WAY, WA 98003-4152
(253) 569-6105
Mailing address
29404 PACIFIC HWY S APT 302, FEDERAL WAY, WA 98003-4152
(253) 569-6105
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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