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DERRICK LEMOND TUCKER CO61083856
NPI 1770179400
Counselor - Addiction (Substance Use Disorder) in Buena, WA

Active since December 16, 2020
201 HIGHLAND DR, BUENA, WA 98921(509) 865-6705 Get Directions Write a Review

NPPES record last updated: December 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Derrick Lemond Tucker Co61083856 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERRICK LEMOND TUCKER CO61083856 (NPI 1770179400) is an individual addiction (substance use disorder) provider in Buena, Washington and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1770179400
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDERRICK LEMOND TUCKERCredential: CO61083856
Location Address201 HIGHLAND DRBuena, WA 98921-0139
Mailing Address120 S 3rd StYakima, WA 98901-2875 · (509) 865-6705
Phone(509) 865-6705
Sole ProprietorNo
Enumeration DateDecember 16, 2020
NPPES CertifiedDecember 11, 2020
✔ NPI 1770179400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
201 HIGHLAND DR, Buena, WA 98921
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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LORI ANN LEACH
Technician, Health Information
201 HIGHLAND DR
BUENA, WA 98921
Yakima County (509) 865-6705
MRS. LISA LOUISE RIVERA CM61165804
Technician, Health Information (Assistant Record Technician)
201 HIGHLAND DR
BUENA, WA 98921
Yakima County (509) 865-6705
ISABELLA ZULETTE LOPEZ
Technician, Health Information
201 HIGHLAND DR
BUENA, WA 98921
Yakima County (509) 865-6705
TERESA S COOPER CM61087822
Technician, Health Information (Assistant Record Technician)
201 HIGHLAND DR
BUENA, WA 98921
Yakima County (509) 865-6705
CHASE CRAIG
Counselor (Addiction (Substance Use Disorder))
201 HIGHLAND DR
BUENA, WA 98921
Yakima County (509) 865-6705
MRS. JAMIE RENEE HOLMES CO61299263
Technician, Health Information
201 HIGHLAND DR
BUENA, WA 98921
Yakima County (509) 865-6705
YAKIMA VALLEY COUNCIL ON ALCOHOLISM
Substance Abuse Rehabilitation Facility
201 HIGHLAND DR
BUENA, WA 98921
Yakima County (509) 865-6705
RANDA NICOLE WASHBURN
Counselor (Addiction (Substance Use Disorder))
201 HIGHLAND DR
BUENA, WA 98921
Yakima County (509) 865-6705

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derrick Tucker's NPI number?

The NPI number for Derrick Tucker is 1770179400. It was assigned to this individual provider in the NPPES registry on December 16, 2020.

Where is Derrick Tucker located?

Derrick Tucker practices at 201 Highland Dr, Buena, WA 98921. The listed phone number is (509) 865-6705.

What is Derrick Tucker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Derrick Tucker was last updated on December 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.