Basic Information
| Provider Information | |||||||||
| NPI: | 1689844706 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DELLAPENTA | ||||||||
| FirstName: | JOANNE | ||||||||
| MiddleName: | MARIE | ||||||||
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| Credential: | LHMC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 16150 NE 85TH ST STE 222 | ||||||||
| Address2: | |||||||||
| City: | REDMOND | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980523546 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4258696687 | ||||||||
| FaxNumber: | 8878804388 | ||||||||
| Practice Location | |||||||||
| Address1: | 16150 NE 85TH ST STE 222 | ||||||||
| Address2: | |||||||||
| City: | REDMOND | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980523546 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4258696687 | ||||||||
| FaxNumber: | 8878804388 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/04/2008 | ||||||||
| LastUpdateDate: | 03/04/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | LH00009708 | WA | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.