Provider Demographics
NPI:1528490349
Name:FLAXER, DAVID (LMHC, MA)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:FLAXER
Suffix:
Gender:M
Credentials:LMHC, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 CURTIS ST
Mailing Address - Street 2:
Mailing Address - City:PORT HADLOCK
Mailing Address - State:WA
Mailing Address - Zip Code:98339-8520
Mailing Address - Country:US
Mailing Address - Phone:360-214-1092
Mailing Address - Fax:
Practice Address - Street 1:1433 12TH AVE
Practice Address - Street 2:UNIT 302
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-3961
Practice Address - Country:US
Practice Address - Phone:206-327-1037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-02
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60375166101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health