Individual
DANIELLE SUZETTE THAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
17202 MARINE DR, STANWOOD, WA 98292-6720
(425) 501-8498
Mailing address
PO BOX 2671, STANWOOD, WA 98292-2671
(425) 501-8498
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
61460507
WA
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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