Individual
MRS. DORI TAYLOR GUTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, MHP, CMHS
Contact information
Practice address
7320 179TH ST SW, EDMONDS, WA 98026-5534
(206) 321-9998
(206) 299-4651
Mailing address
7320 179TH ST SW, EDMONDS, WA 98026-5534
(206) 321-9998
(206) 299-4651
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LW00009392
NM
101YM0800X
Mental Health Counselor
LW00009392
WA
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
LW00009392
WA
1041C0700X
Clinical Social Worker
LW00009392
WA
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
LW00009392
WA
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13558962
CAQH
—
05
—
2039295
—
WA
01
—
LW00009392
WA DEPT. OF HEALTH
WA
Enumeration date
08/10/2007
Last updated
11/10/2021
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