Provider Demographics
NPI:1578048641
Name:ARTEAGA, DANIEL A (MS)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:A
Last Name:ARTEAGA
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 108TH AVE SE APT 40
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-7364
Mailing Address - Country:US
Mailing Address - Phone:206-963-4683
Mailing Address - Fax:
Practice Address - Street 1:1400 114TH AVE SE
Practice Address - Street 2:ROOM 50
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004
Practice Address - Country:US
Practice Address - Phone:971-801-2054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-25
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist