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Ty Douglas Denner
Addiction (Substance Use Disorder) Counselor in Ellensburg, Washington
NPI 1942909189

Ty Douglas Denner is an Addiction (Substance Use Disorder) Counselor based in Ellensburg, WA and is specialized in Addiction (Substance Use Disorder). Ty Douglas Denner practices in Ellensburg, WA. The NPI Number for Ty Douglas Denner is 1942909189 and holds a License No. 61407222 (Washington).

The current practice location address for Ty Douglas Denner is 200 E 3Rd Ave, Ellensburg, WA and can be reached out via phone at 509-925-9821 and via fax at 509-925-9073.

Location: 200 E 3Rd Ave, Ellensburg, WA, 98926-3347
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942909189
Provider Name
Ty Douglas Denner
Credential
Provider Entity Type
Individual
Gender
Male
Address
200 E 3Rd Ave, Ellensburg, WA, 98926-3347
Phone Number
509-925-9821
Fax Number
509-925-9073
Provider Enumeration Date
02/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 E 3Rd Ave
City
Ellensburg
State
Washington
Zip
98926-3347
Phone Number
509-925-9821
Fax Number
509-925-9073
person
Provider Business Mailing Address Details
Address
200 E 3Rd Ave
City
Ellensburg
State
Washington
Zip
98926-3347
Phone Number
509-925-9821
Fax Number
509-925-9073
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
61407222 (Washington)
Definition
Definition to come...
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