Individual
WANESSA MOLDESTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CG0329777
Contact information
Practice address
14670 NE 8TH ST STE 168, BELLEVUE, WA 98007-4127
(425) 646-4406
(425) 646-4409
Mailing address
1515 116TH AVE NE STE 302, BELLEVUE, WA 98004-3811
(425) 646-4406
(425) 646-4409
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/15/2016
Last updated
01/06/2020
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