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NPI Code Detail

MEDICARE: DANIELLE LEANNE VASENDA

MEDICARE: DANIELLE LEANNE VASENDA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1730035544
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE LEANNE VASENDA
Provider Business Mailing Address
First Line : 884 W PARK AVE
Second Line :
City : PORT TOWNSEND
State : WA
Zip : 98368-2273
Country : US
Telephone Number : 360-385-0321
Fax Number :
Provider Business Practice Location Address
First Line : 884 W PARK AVE
Second Line :
City : PORT TOWNSEND
State : WA
Zip : 98368-2273
Country : US
Telephone Number : 360-385-0321
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2026
Last Update Date : 03/05/2026

Similar Medicare Providers

1801742093 — CRYSTAL SCHROEDER
Practice Location Address:
884 W PARK AVE
PORT TOWNSEND, WA
98368-2273
Practice Phone: 360-385-0321
Practice Fax:
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Practice Fax:
1447105333 — TRISTEN ACOSTA
Practice Location Address:
884 W PARK AVE
PORT TOWNSEND, WA
98368-2273
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Practice Fax:
1033602834 — MRS. JENA LEANNA PIERCE APRN, PMHNP-BC
Practice Location Address:
884 W PARK AVE
PORT TOWNSEND, WA
98368-2273
Practice Phone: 360-385-0321
Practice Fax:
1386618254 — MRS. DONETTE BOYETT LCSW-A
Practice Location Address:
884 W PARK AVE
PORT TOWNSEND, WA
98368-2273
Practice Phone: 360-385-0321
Practice Fax: 360-385-3944

Directions to “ DANIELLE LEANNE VASENDA ” Practice Location

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