Provider Demographics
NPI:1952821498
Name:DULEBA, GRETTA BARTELS (MS, MA, LMFTA)
Entity Type:Individual
Prefix:
First Name:GRETTA
Middle Name:BARTELS
Last Name:DULEBA
Suffix:
Gender:F
Credentials:MS, MA, LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 W MERCER ST STE 380
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98119-3993
Mailing Address - Country:US
Mailing Address - Phone:206-339-3538
Mailing Address - Fax:
Practice Address - Street 1:18 W MERCER ST STE 380
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98119-3993
Practice Address - Country:US
Practice Address - Phone:206-339-3538
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-26
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMG60950250106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist