Healthcare Provider Details

I. General information

NPI: 1346718996
Provider Name (Legal Business Name): ANNA DOLGUSHINA LMHC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/12/2018
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 LANDERHOLM CIR SE
BELLEVUE WA
98007-6406
US

IV. Provider business mailing address

2404 165TH PL NE
BELLEVUE WA
98008-2330
US

V. Phone/Fax

Practice location:
  • Phone: 425-564-5747
  • Fax:
Mailing address:
  • Phone: 217-419-6515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: