Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derek Shea Utrup

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1215413471

Derek Shea Utrup is an Addiction (Substance Use Disorder) Counselor in Tacoma, Washington. Licensed in Washington. Registered with an NPI since 2018.

Licensed in
WA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

3629 S D St
Tacoma, WA 98418-6813
Phone: (253) 798-2825
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CP60546575 (WA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 60546575 (WA)

Record details

NPI number1215413471
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 11, 2018
Last updated in NPPESJuly 11, 2018

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