| Derrick Lemond Tucker, CO61083856 | |
|
201 Highland Dr, Buena, WA 98921-0139 | |
| (509) 865-6705 | |
| Not Available |
| Full Name | Derrick Lemond Tucker |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 201 Highland Dr, Buena, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770179400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Derrick Lemond Tucker, CO61083856 120 S 3rd St, Yakima, WA 98901-2875 Ph: (509) 865-6705 | Derrick Lemond Tucker, CO61083856 201 Highland Dr, Buena, WA 98921-0139 Ph: (509) 865-6705 |
Brendon K Adams, CP60566337 Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Highland Drive, Buena, WA 98921 Phone: 509-248-1800 | |
Randa Nicole Washburn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Highland Dr, Buena, WA 98921 Phone: 509-865-6705 Fax: 509-865-5011 | |
Carmenlita Ladonna Solis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Highland Dr, Buena, WA 98921 Phone: 509-865-6705 | |
Anna Grace Peterson, CG 61390999 Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Highland Dr, Buena, WA 98921 Phone: 509-865-6705 | |
William Turner, CG 61383850 Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Highland Dr, Buena, WA 98921 Phone: 509-865-6705 | |
Anthony S Castro, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Highland Dr, Buena, WA 98921 Phone: 509-248-1800 |