Provider Demographics
NPI:1144594730
Name:DAS, SITA DEGIULIO (BA, CDP)
Entity Type:Individual
Prefix:MS
First Name:SITA
Middle Name:DEGIULIO
Last Name:DAS
Suffix:
Gender:F
Credentials:BA, CDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6100 SOUTHCENTER BLVD FL 1
Mailing Address - Street 2:
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98188-2442
Mailing Address - Country:US
Mailing Address - Phone:206-444-7877
Mailing Address - Fax:206-444-7810
Practice Address - Street 1:6100 SOUTHCENTER BLVD FL 1
Practice Address - Street 2:
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98188-2442
Practice Address - Country:US
Practice Address - Phone:206-444-7877
Practice Address - Fax:206-444-7810
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-29
Last Update Date:2015-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP60364980101YA0400X
WACG60461238101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA12345OtherDSHS