Individual
TY DOUGLAS DENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 E 3RD AVE, ELLENSBURG, WA 98926-3347
(509) 925-9821
(509) 925-9073
Mailing address
200 E 3RD AVE, ELLENSBURG, WA 98926-3347
(509) 925-9821
(509) 925-9073
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
61407222
WA
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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