Provider Demographics
NPI:1598054017
Name:DELEON, ESCARLETH MILENA (LMFT, CMHS)
Entity Type:Individual
Prefix:
First Name:ESCARLETH
Middle Name:MILENA
Last Name:DELEON
Suffix:
Gender:F
Credentials:LMFT, CMHS
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 1782
Mailing Address - Street 2:
Mailing Address - City:FERNDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98248-1782
Mailing Address - Country:US
Mailing Address - Phone:360-739-3548
Mailing Address - Fax:360-783-6785
Practice Address - Street 1:2319 N 45TH ST STE 303
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-6979
Practice Address - Country:US
Practice Address - Phone:360-739-3548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-05
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF60567095106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist