Individual
DIANNA K ALTENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., LICSW
Contact information
Practice address
4800 SAND POINT WAY NE, MS W3636, SEATTLE, WA 98105-3901
(206) 987-0000
Mailing address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LW00004680
WA
1041C0700X
Clinical Social Worker
LW00004680
WA
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
RN00045814
WA
Other
Enumeration date
01/24/2007
Last updated
11/30/2009
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