Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAILE GRACE DAVELAAR, LMFT
Active Sole ProprietorMAILE GRACE DAVELAAR, LMFT is a Marriage & Family Therapist healthcare provider located in PESHASTIN, Washington. NPI 1366758864 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · PESHASTIN, WA
Registration Details
- NPI Number
- 1366758864
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 23, 2010 (15.968022409227 yrs)
- Last Updated
- Oct 15, 2018
- License
-
LF60195205 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10090 MAIN ST APT HPESHASTIN, WA, 988479770Browse WA providers · Browse ZIP 98847
- Phone
- 5096766009
- Fax
- 5096766009
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.