Individual
AMANDA JEAN DENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
Mailing address
7927 VERNON RD, LAKE STEVENS, WA 98258-3113
(360) 913-8559
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0409419964105
MT
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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