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Ty Douglas Denner

Counselor, Addiction (Substance Use Disorder) in Ellensburg, WA. Individual provider (NPI-1).

NPI number1942909189
StatusActive
Last updated in NPPESFeb 27, 2023

Details

NPI
1942909189
Entity type
Individual (NPI-1)
Name
Ty Douglas Denner
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 27, 2023
Certification date
Feb 27, 2023
Last updated
Feb 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)61407222WAYes

Practice location

200 E 3rd Ave
Ellensburg, WA 98926-3347

Phone 509-925-9821 · Fax 509-925-9073

Mailing address

200 E 3rd Ave
Ellensburg, WA 98926-3347

Phone 509-925-9821 · Fax 509-925-9073

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Other Addiction (Substance Use Disorder) Counselor providers in Ellensburg, WA

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