Provider Demographics
NPI:1972955029
Name:ENDEAVOR FAMILY COUNSELING
Entity Type:Organization
Organization Name:ENDEAVOR FAMILY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:CUDWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:MA,FFT,LMHC,CS
Authorized Official - Phone:425-381-6895
Mailing Address - Street 1:14810 89TH PL NE
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:WA
Mailing Address - Zip Code:98028-4766
Mailing Address - Country:US
Mailing Address - Phone:425-381-6895
Mailing Address - Fax:
Practice Address - Street 1:9757 NE JUANITA DR
Practice Address - Street 2:SUITE 300
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-4299
Practice Address - Country:US
Practice Address - Phone:425-381-6895
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-12
Last Update Date:2016-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60014831251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health