Provider Demographics
NPI:1659417160
Name:USLAN, DONALD (MA, MBA, LMHC, CRD)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:
Last Name:USLAN
Suffix:
Gender:M
Credentials:MA, MBA, LMHC, CRD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10330 MERIDIAN AVE N
Mailing Address - Street 2:STE 250
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-9451
Mailing Address - Country:US
Mailing Address - Phone:206-368-6188
Mailing Address - Fax:206-368-6178
Practice Address - Street 1:10330 MERIDIAN AVE N
Practice Address - Street 2:STE 250
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-9451
Practice Address - Country:US
Practice Address - Phone:206-368-6188
Practice Address - Fax:206-368-6178
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00004894101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health