Individual
DIANE MELANIE VALDESPINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Contact information
Practice address
3627 152ND ST NE, MARYSVILLE, WA 98271-8944
(253) 294-0617
Mailing address
18036 SE 240TH PL, COVINGTON, WA 98042-4810
(253) 294-0617
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH61132618
WA
101YM0800X
Mental Health Counselor
MC60502604
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2039243
—
WA
Enumeration date
07/31/2012
Last updated
01/20/2023
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