Healthcare Provider Details

I. General information

NPI: 1467182006
Provider Name (Legal Business Name): DANIEL R ABSHERE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2022
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1283 ELGER BAY RD STE C
CAMANO ISLAND WA
98282-8375
US

IV. Provider business mailing address

1283 ELGER BAY RD STE C
CAMANO ISLAND WA
98282-8375
US

V. Phone/Fax

Practice location:
  • Phone: 360-826-7775
  • Fax: 360-826-7776
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMC61317966
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMC61317966
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License NumberMC61317966
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberMC61317966
License Number StateWA
# 5
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberMC61317966
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: