Provider Demographics
NPI:1548820103
Name:HUDSON, ALDAN ELYSE
Entity type:Individual
Prefix:
First Name:ALDAN
Middle Name:ELYSE
Last Name:HUDSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2722 COLBY AVE STE 610
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-3534
Mailing Address - Country:US
Mailing Address - Phone:425-257-2116
Mailing Address - Fax:
Practice Address - Street 1:2722 COLBY AVE STE 610
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-3534
Practice Address - Country:US
Practice Address - Phone:425-257-2116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-17
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor