DEREK LEE GREUL

PORT ANGELES, WA
NPI1336603695
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA  CO60912368)
Enumeration Date2019-01-30
Last Update Date2019-01-30
Business Address
MR. DEREK LEE GREUL CO60912368
825 E 5TH ST
PORT ANGELES, WA 98362-3818
Phone number: 360-477-4790
Mailing Address
MR. DEREK LEE GREUL CO60912368
825 E 5TH ST
PORT ANGELES, WA 98362-3818
Phone number: 360-477-4790