Individual
DANIELLE MOULDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21701 76TH AVE W STE 301, EDMONDS, WA 98026-7536
(425) 620-2084
Mailing address
7869 COUNTY ROAD 350, MERIDIAN, MS 39301-9643
(601) 513-2508
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
JEH17ADST
WA
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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