Individual
MR. DOUGLAS MARK WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
22620 SE 4TH ST STE 130, SAMMAMISH, WA 98074-7375
(855) 402-1364
(425) 974-7861
Mailing address
22620 SE 4TH ST STE 130, SAMMAMISH, WA 98074-7375
(855) 402-1364
(425) 974-7861
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW61657034
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2178499
—
WA
Enumeration date
06/02/2021
Last updated
07/08/2025
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