Derrik Hunter Mattox-Hanson

NPI #1245038017 in Chehalis, Washington

Provider Information

NPI Number: 1245038017
Entity Type: Individual
Name: Derrik Hunter Mattox-Hanson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Mar 6, 2025
Last Updated: Mar 6, 2025

Practice Location

Address: 500 SE WASHINGTON AVE
City: Chehalis
State: Washington
ZIP Code: 98532-3058
Phone: (360) 507-8032

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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