Provider Demographics
NPI:1710387600
Name:REDFORD, DENISE (MS MFT, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:
Last Name:REDFORD
Suffix:
Gender:F
Credentials:MS MFT, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3519 85TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98270-8536
Mailing Address - Country:US
Mailing Address - Phone:425-387-6733
Mailing Address - Fax:
Practice Address - Street 1:3519 85TH AVE NE
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98270-8536
Practice Address - Country:US
Practice Address - Phone:425-387-6733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-27
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF60908590106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist