TY DOUGLAS DENNER

ELLENSBURG, WA
NPI1942909189
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA  61407222)
Enumeration Date2023-02-27
Last Update Date2023-02-27
Business Address
TY DOUGLAS DENNER
200 E 3RD AVE
ELLENSBURG, WA 98926-3347
Phone number: 509-925-9821
Mailing Address
TY DOUGLAS DENNER
200 E 3RD AVE
ELLENSBURG, WA 98926-3347
Phone number: 509-925-9821