| Derrick Conley Lcsw Pllc | |
|
1705 S 24th Ave Yakima WA 98902-5720 | |
| (509) 775-6589 | |
| (509) 204-3966 |
| Full Name | Derrick Conley Lcsw Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1705 S 24th Ave, Yakima, Washington |
| Authorized Official Name and Position | Derrick A Conley (OWNER) |
| Authorized Official Contact | 5097756589 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Derrick Conley Lcsw Pllc 1705 S 24th Ave Yakima WA 98902-5720 Ph: (509) 775-6589 | Derrick Conley Lcsw Pllc 1705 S 24th Ave Yakima WA 98902-5720 Ph: (509) 775-6589 |
| NPI Number | 1275246811 |
|---|---|
| Provider Enumeration Date | 12/28/2022 |
| Last Update Date | 12/28/2022 |
| Certification Date | 12/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275246811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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