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Individual

MS. DAWN MARIE IDEKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
404 S 1ST ST, SUITE 203, MOUNT VERNON, WA 98273-3866
(360) 770-5476
(360) 336-3270
Mailing address
24230 NOOKACHAMP HILLS DR, MOUNT VERNON, WA 98274-9196
(360) 770-5476
(360) 336-3270

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60305329
WA

Other

Enumeration date
11/06/2006
Last updated
06/28/2013
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