Individual
MRS. DANIELLE ANNE DUFAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4425 FREMONT AVE N, SEATTLE, WA 98103-7225
(206) 390-1417
Mailing address
15605 21ST AVE SW, BURIEN, WA 98166-2627
(206) 604-6048
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04112
—
WA
Enumeration date
05/18/2007
Last updated
06/04/2009
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