| Doctor Name: | DANETTE MARIE SUNDBERG |
| NPI Number: | 1043480163 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LMHC |
| License Number: | LH00006549 |
| Business Practice Address: | 16150 Ne 85th St Ste 222 Redmond, WA - 980523546 |
| Business Phone Number: | 4258696687 |
| Business Fax Number: | 8778804388 |
| Mailing Address: | 16150 Ne 85th St Ste 222, REDMOND |
| State: | WA |
| Postal Code: | 980523546 |
| Phone Number: | 4258696687 |
| Fax Number: | 8778804388 |
| NPI Enumeration Date: | 03/04/2008 |
| NPI Last Update Date: | 03/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LH00006549 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |