IndividualActive
Derick Palmer, ED.D, LPC, LMHC, NCC
NPI 1396901757 · Professional Counselor · Kirtland Afb, NM
Provider details
- NPI number
- 1396901757
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- ED.D, LPC, LMHC, NCC
- Sex
- Male
- Sole proprietor
- No
- License
- RC60018183 (WA)
Mailing address
9730 Highway 238
Jacksonville, OR 97530-9601
Registry dates
- Enumerated
- 2008-08-04
- Last updated
- 2026-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.