person
Matthew Derosa
Mental Health Counselor in Vancouver, Washington
NPI 1255762266

Matthew Derosa is a Mental Health Counselor based in Vancouver, WA and is specialized in Mental Health. Matthew Derosa practices in Vancouver, WA. The NPI Number for Matthew Derosa is 1255762266 and holds a License No. CG60426432 (Washington).

The current practice location address for Matthew Derosa is 1014 Main St, Vancouver, WA and can be reached out via phone at 360-695-1014 and via fax at 360-750-1374.

Location: 1014 Main St, Vancouver, WA, 98660-3151
person
Provider Profile Details
NPI Number
1255762266
Provider Name
Matthew Derosa
Credential
Provider Entity Type
Individual
Gender
Male
Address
1014 Main St, Vancouver, WA, 98660-3151
Phone Number
360-695-1014
Fax Number
360-750-1374
Provider Enumeration Date
12/02/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1014 Main St
City
State
Zip
98660-3151
Phone Number
360-695-1014
Fax Number
360-750-1374
person
Provider Business Mailing Address Details
Address
1014 Main St
City
State
Zip
98660-3151
Phone Number
360-695-1014
Fax Number
360-750-1374
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CG60426432 (Washington)
Definition
Definition to come...
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