Healthcare Provider Details

I. General information

NPI: 1467384909
Provider Name (Legal Business Name): DONALD DAOUST
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8923 105TH AVE NE
LAKE STEVENS WA
98258-8949
US

IV. Provider business mailing address

8923 105TH AVE NE
LAKE STEVENS WA
98258-8949
US

V. Phone/Fax

Practice location:
  • Phone: 206-486-5206
  • Fax:
Mailing address:
  • Phone: 206-486-5206
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCAAR.CG61649573
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: