Provider Demographics
NPI:1821316084
Name:CASTANOS-DAVIS, ANALIA (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:ANALIA
Middle Name:
Last Name:CASTANOS-DAVIS
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:ANALIA
Other - Middle Name:
Other - Last Name:CASTANOSBURGUENO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LMHC
Mailing Address - Street 1:10717 55TH AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98178-2211
Mailing Address - Country:US
Mailing Address - Phone:206-355-8568
Mailing Address - Fax:
Practice Address - Street 1:2910 E MADISON ST
Practice Address - Street 2:SUITE 211
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-4214
Practice Address - Country:US
Practice Address - Phone:206-355-8568
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-12
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60267192101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health