Healthcare Provider Details

I. General information

NPI: 1326546557
Provider Name (Legal Business Name): MARIA DALBOTTEN LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2018
Last Update Date: 01/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 STEWART ST STE 220
SEATTLE WA
98101-1217
US

IV. Provider business mailing address

600 STEWART ST STE 220
SEATTLE WA
98101-1217
US

V. Phone/Fax

Practice location:
  • Phone: 206-910-9476
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number60799175
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: