Individual
DANIEL MICHAEL LOUDERBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LMHC
Contact information
Practice address
619 N. 35TH STREET, SUITE 209, SEATTLE, WA 98103
(206) 545-3507
Mailing address
619 N. 35TH STREET, SUITE 209, SEATTLE, WA 98103
(206) 545-3507
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60779138
WA
101YM0800X
Mental Health Counselor
MC60412225
WA
101YP2500X
Professional Counselor
—
WA
Other
Enumeration date
02/15/2016
Last updated
11/16/2018
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