Individual
DIANE GENEVA HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1111 ARCHWOOD DR SW, #366, OLYMPIA, WA 98502-5641
(253) 223-9143
Mailing address
1111 ARCHWOOD DR SW, #366, OLYMPIA, WA 98502-5641
(253) 223-9143
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF00002141
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LF00002141
DEPARTMENT OF HEALTH
WA
Enumeration date
10/19/2007
Last updated
10/19/2007
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