Provider Demographics
NPI:1164894614
Name:ENDEN, WENDY (LMHC)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:ENDEN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4068
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-4068
Mailing Address - Country:US
Mailing Address - Phone:425-496-5818
Mailing Address - Fax:
Practice Address - Street 1:1123 MAPLE AVE SW STE 130
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-3161
Practice Address - Country:US
Practice Address - Phone:425-496-5818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-23
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60885223101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health