Healthcare Provider Details

I. General information

NPI: 1437335064
Provider Name (Legal Business Name): WENDY C HENDRICKSON LMHC, CDP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/14/2008
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15624 64TH AVE SE
SNOHOMISH WA
98296-4225
US

IV. Provider business mailing address

15624 64TH AVE SE
SNOHOMISH WA
98296-4225
US

V. Phone/Fax

Practice location:
  • Phone: 206-356-0717
  • Fax: 360-282-1668
Mailing address:
  • Phone: 206-356-0717
  • Fax: 360-282-1668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH00011179
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: