Provider Demographics
NPI:1982909388
Name:LODER, DALENE (MS, LMHC)
Entity Type:Individual
Prefix:
First Name:DALENE
Middle Name:
Last Name:LODER
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12601 S THUNDER MOUNTAIN LN
Mailing Address - Street 2:
Mailing Address - City:VALLEYFORD
Mailing Address - State:WA
Mailing Address - Zip Code:99036-9600
Mailing Address - Country:US
Mailing Address - Phone:509-991-4339
Mailing Address - Fax:509-340-9826
Practice Address - Street 1:200 N MULLAN RD STE 214
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-3793
Practice Address - Country:US
Practice Address - Phone:509-991-4339
Practice Address - Fax:509-340-9826
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-14
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00007460101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health