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

Mr. Willard Douglas Derouen Jr.

Individual provider Counselor · NPI 1417814187

Mr. Willard Douglas Derouen Jr. is a Counselor in Spokane, Washington. Licensed in Washington. Registered with an NPI since 2026.

Licensed in
WA
In the registry since
2026
Specialties on file
2

Practice location Address checks out

910 W Boone Ave
Spokane, WA 99201-5029
Phone: (206) 665-1386
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Peer Specialist Taxonomy 175T00000X (WA)

Record details

NPI number1417814187
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 6, 2026
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026

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