Provider Demographics
NPI:1841799285
Name:DIANE HUDSON COUNSELING
Entity Type:Organization
Organization Name:DIANE HUDSON COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:S
Authorized Official - Last Name:HOFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-359-5193
Mailing Address - Street 1:PO BOX 26457
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98093-3457
Mailing Address - Country:US
Mailing Address - Phone:253-359-5193
Mailing Address - Fax:
Practice Address - Street 1:2940 LIMITED LN NW # 106
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-6503
Practice Address - Country:US
Practice Address - Phone:253-223-9143
Practice Address - Fax:360-515-5854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-11
Last Update Date:2018-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty