Provider Demographics
NPI:1427404995
Name:SEIDENSTEIN, DANI (LMHC)
Entity Type:Individual
Prefix:MS
First Name:DANI
Middle Name:
Last Name:SEIDENSTEIN
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 1:6615 SE COUGAR MOUNTAIN WAY
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-5608
Mailing Address - Country:US
Mailing Address - Phone:206-853-6500
Mailing Address - Fax:
Practice Address - Street 1:550 222ND PL SE
Practice Address - Street 2:
Practice Address - City:SAMMAMISH
Practice Address - State:WA
Practice Address - Zip Code:98074-7111
Practice Address - Country:US
Practice Address - Phone:425-369-1111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-13
Last Update Date:2016-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH 60351543101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health