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NPI Code Detail

MEDICARE: MRS. DANIELLE ANNE DUFAULT MA

MEDICARE: MRS. DANIELLE ANNE DUFAULT MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2106H00000XMarriage & Family Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487862777
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DANIELLE ANNE DUFAULT MA
Provider Business Mailing Address
First Line : 15605 21ST AVE SW
Second Line :
City : BURIEN
State : WA
Zip : 98166-2627
Country : US
Telephone Number : 206-604-6048
Fax Number :
Provider Business Practice Location Address
First Line : 4425 FREMONT AVE N
Second Line :
City : SEATTLE
State : WA
Zip : 98103-7225
Country : US
Telephone Number : 206-390-1417
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2007
Last Update Date : 06/04/2009

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Directions to “ MRS. DANIELLE ANNE DUFAULT MA” Practice Location

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