Individual provider · Type 1 NPI

Diane Fennema, MA

Mental Health Counselor · Kirkland, WA

NPI number 1245308162 Active

Practice location

26 20th Ave
Kirkland, WA 98033-4925

Call (425) 827-7880 Map

Mailing address

26-20TH Ave
Kirkland, WA 98033

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLH00003920 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1245308162

Diane Fennema, MA's National Provider Identifier is 1245308162, issued on Nov 30, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Kirkland, WA. The record was last updated on Jul 8, 2007.