Healthcare Provider Details

I. General information

NPI: 1700078367
Provider Name (Legal Business Name): DARLENE JOAN STROOT MA/MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2007
Last Update Date: 11/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3078 EL CAJON BLVD
SAN DIEGO CA
92104-1322
US

IV. Provider business mailing address

6100 SOUTHCENTER BLVD
TUKWILA WA
98188
US

V. Phone/Fax

Practice location:
  • Phone: 619-521-1743
  • Fax: 619-521-1836
Mailing address:
  • Phone: 206-444-7830
  • Fax: 206-444-7810

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberRC60042724
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: