Provider Demographics
NPI:1255931416
Name:DUDUGJIAN, LAUREN (MS-LMFT, MDIV)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:DUDUGJIAN
Suffix:
Gender:F
Credentials:MS-LMFT, MDIV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13110 NE 177TH PL # 1107
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072-5740
Mailing Address - Country:US
Mailing Address - Phone:425-667-5351
Mailing Address - Fax:425-486-6495
Practice Address - Street 1:13110 NE 177TH PL # 1107
Practice Address - Street 2:
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-5740
Practice Address - Country:US
Practice Address - Phone:425-667-5351
Practice Address - Fax:425-486-6495
Is Sole Proprietor?:No
Enumeration Date:2020-10-27
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF61595210101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health