Individual
MS. DEBIRUTH STANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, MA
Contact information
Practice address
16802 NE 30TH ST, BELLEVUE, WA 98008-2129
(425) 785-8354
Mailing address
9 LAKE BELLEVUE DR STE 214, BELLEVUE, WA 98005-2454
(425) 329-8249
(425) 699-0468
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60174962
WA
Other
Enumeration date
08/21/2013
Last updated
07/18/2014
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