Provider Demographics
NPI:1760791958
Name:DAUER, JAMES A (LMHC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:A
Last Name:DAUER
Suffix:
Gender:M
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:PO BOX 1287
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98041-1287
Mailing Address - Country:US
Mailing Address - Phone:360-863-2818
Mailing Address - Fax:360-863-3912
Practice Address - Street 1:17880 147TH ST SE
Practice Address - Street 2:SUITE 201
Practice Address - City:MONROE
Practice Address - State:WA
Practice Address - Zip Code:98272-1014
Practice Address - Country:US
Practice Address - Phone:360-863-2818
Practice Address - Fax:360-863-3912
Is Sole Proprietor?:No
Enumeration Date:2010-10-05
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60145952101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health