=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386962637
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | STEPHEN ALAN DULANEY M.A.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/12/2010
-----------------------------------------------------
Last Update Date | 03/04/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 16404 SMOKEY POINT BLVD STE 102B
-----------------------------------------------------
City | ARLINGTON
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98223-8417
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-295-9030
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1128 PUESTA DEL SOL AVE
-----------------------------------------------------
City | CAMANO ISLAND
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98282-5502
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-295-9030
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | LH60284078
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------