Provider Demographics
NPI:1790202109
Name:DU, RENTING (MSW, LICSWA)
Entity Type:Individual
Prefix:
First Name:RENTING
Middle Name:
Last Name:DU
Suffix:
Gender:F
Credentials:MSW, LICSWA
Other - Prefix:
Other - First Name:RENTING
Other - Middle Name:
Other - Last Name:DU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW, LICSWA
Mailing Address - Street 1:620 N 34TH ST APT 305
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-8679
Mailing Address - Country:US
Mailing Address - Phone:626-510-5843
Mailing Address - Fax:
Practice Address - Street 1:2000 S WALKER ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144
Practice Address - Country:US
Practice Address - Phone:206-681-7552
Practice Address - Fax:206-436-8388
Is Sole Proprietor?:No
Enumeration Date:2017-08-25
Last Update Date:2018-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC60889631101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health