Individual
DANIELLE J WIDJAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
222 WALL ST, SEATTLE, WA 98121-1431
(206) 441-3043
Mailing address
222 WALL ST, SEATTLE, WA 98121-1431
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CG61142466
WA
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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