Organization
VANESSA DZIVAKWE, PHD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA DZIVAKWE PHD (OWNER)
(206) 329-5255
Entity
Organization
Contact information
Practice address
509 OLIVE WAY STE 204, SEATTLE, WA 98101-1726
(206) 329-5255
(206) 726-1878
Mailing address
509 OLIVE WAY STE 204, SEATTLE, WA 98101-1726
(206) 329-5255
(206) 726-1878
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PY 60666097
WA
Other
Enumeration date
10/04/2016
Last updated
07/21/2022
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