Individual
DEEPAK GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1789 30TH AVE NE, ISSAQUAH, WA 98029-7365
(734) 748-0108
Mailing address
1789 30TH AVE NE, ISSAQUAH, WA 98029-7365
(734) 748-0108
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHCA.MC.70031641
WA
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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