Individual
DAESOLEIL PETERSON HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8226 BRACKEN PL SE STE 200, SNOQUALMIE, WA 98065-2935
(425) 842-3910
Mailing address
37509 SE FURY ST, SNOQUALMIE, WA 98065-9593
(661) 714-3606
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/30/2020
Last updated
10/17/2023
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