Derick Macias Canchola
NPI #1013556430 in Walnut Creek, California
Provider Information
- NPI Number
- 1013556430
- Entity Type
- Individual
- Name
- Derick Macias Canchola
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Jan 2, 2020
- Last Updated
- Sep 10, 2024
Practice Location
- Address
- 877 YGNACIO VALLEY RD
- City
- Walnut Creek
- State
- California
- ZIP Code
- 94596-3878
- Phone
- (519) 610-1371
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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