Individual
MR. DANIEL KELLEY-PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MAED, NCC, LMHC
Contact information
Practice address
2722 EASTLAKE AVE E, SUITE 300, SEATTLE, WA 98102-3143
(206) 289-0281
Mailing address
2722 EASTLAKE AVE E, SUITE 300, SEATTLE, WA 98102-3143
(206) 289-0281
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH60738078
WA
101YM0800X
Mental Health Counselor
Primary
MC60597324
WA
Other
Enumeration date
10/06/2015
Last updated
02/24/2017
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