Healthcare Provider Details

I. General information

NPI: 1740647569
Provider Name (Legal Business Name): SERENA DION RODRIGUEZ LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SERENA DION FORWARD-RODRIGUEZ LMHC

II. Dates (important events)

Enumeration Date: 01/25/2016
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1402 AUBURN WAY N #247
AUBURN WA
98002
US

IV. Provider business mailing address

5608 17TH AVE NW # 1332
SEATTLE WA
98107-5232
US

V. Phone/Fax

Practice location:
  • Phone: 253-342-1900
  • Fax: 253-254-1900
Mailing address:
  • Phone: 253-342-1900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC.LH.60913081
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: