Search › Washington › 101YA0400X
Derrick Sampson, MS, SUDT, MHP
NPI 1679040901 · on the registry since 2018
Practice
- Address
- 12201 Pacific Ave S
Tacoma, WA 98444 - Phone
- (253) 536-6425
- Organisation at this address
- Prosperity Counseling & Treatment Services Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101YM0800X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-11-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington