Derick Macias Canchola
Derick Macias Canchola is a Marriage & Family Therapist in Walnut Creek, California. Licensed in California. Registered with an NPI since 2020.
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
877 Ygnacio Valley RdWalnut Creek, CA 94596-3878
Phone: (519) 610-1371
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X (CA) |
|---|
Record details
| NPI number | 1013556430 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 2, 2020 |
| Last updated in NPPES | September 10, 2024 |
| Certification date | September 10, 2024 |
| Mailing address | 2834 Brook Way, San Pablo, CA 94806-3212 |
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