Individual
ARDYN HAZEL WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMHCA
Contact information
Practice address
11000 LAKE CITY WAY NE, SEATTLE, WA 98125-6748
(206) 901-2000
Mailing address
6400 SOUTHCENTER BLVD, TUKWILA, WA 98188-2547
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
LH61676605
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/01/2021
Last updated
07/09/2025
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