Provider Demographics
NPI:1073863841
Name:CHEN, DAFNA (LMHC, CDP)
Entity Type:Individual
Prefix:MS
First Name:DAFNA
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:LMHC, CDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15600 NE 8TH ST # 527
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98008-3927
Mailing Address - Country:US
Mailing Address - Phone:425-443-7900
Mailing Address - Fax:206-824-5550
Practice Address - Street 1:19987 1ST AVE S STE 101
Practice Address - Street 2:
Practice Address - City:NORMANDY PARK
Practice Address - State:WA
Practice Address - Zip Code:98148-2400
Practice Address - Country:US
Practice Address - Phone:425-443-7900
Practice Address - Fax:206-824-5550
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-19
Last Update Date:2014-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60461038101YM0800X
WACP60428256101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)