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Iduar Dereix Calonge
Mental Health Counselor in Tumwater, Washington
NPI 1336829845

Iduar Dereix Calonge is a Mental Health Counselor based in Tumwater, WA and is specialized in Mental Health. Iduar Dereix Calonge practices in Tumwater, WA. The NPI Number for Iduar Dereix Calonge is 1336829845 and holds a License No. CG61421303 (Washington).

The current practice location address for Iduar Dereix Calonge is 6334 Littlerock Rd Sw, Tumwater, WA and can be reached out via phone at 360-704-7590.

Location: 6334 Littlerock Rd Sw, Tumwater, WA, 98512-7332
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336829845
Provider Name
Iduar Dereix Calonge
Credential
Provider Entity Type
Individual
Gender
Male
Address
6334 Littlerock Rd Sw, Tumwater, WA, 98512-7332
Phone Number
360-704-7590
Fax Number
Provider Enumeration Date
07/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6334 Littlerock Rd Sw
City
Tumwater
State
Washington
Zip
98512-7332
Phone Number
360-704-7590
Fax Number
person
Provider Business Mailing Address Details
Address
6334 Littlerock Rd Sw
City
Tumwater
State
Washington
Zip
98512-7332
Phone Number
360-704-7590
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
CG61421303 (Washington)
Definition
Definition to come...
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