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Individual

DAVID WEIDENBORNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMHC

Contact information

Practice address
32808 145TH PL SE, AUBURN, WA 98092-5976
(206) 395-4131
Mailing address
11 3RD ST NW, #1421, AUBURN, WA 98071
(206) 395-4131

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
009471
NY
101YM0800X
Mental Health Counselor
LH61204561
WA

Other

Enumeration date
02/27/2018
Last updated
07/12/2022
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