Provider Demographics
NPI:1932590585
Name:DANDESCU, ALEXANDRU ANDREI (MA MHC SOTP)
Entity Type:Individual
Prefix:MR
First Name:ALEXANDRU
Middle Name:ANDREI
Last Name:DANDESCU
Suffix:
Gender:M
Credentials:MA MHC SOTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 AURORA AVE N
Mailing Address - Street 2:SUITE 205
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-7873
Mailing Address - Country:US
Mailing Address - Phone:206-851-5693
Mailing Address - Fax:
Practice Address - Street 1:4000 AURORA AVE N
Practice Address - Street 2:SUITE 205
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-7873
Practice Address - Country:US
Practice Address - Phone:206-851-5693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-17
Last Update Date:2015-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH 60189083101Y00000X
WAFC 00000202103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst