Provider Demographics
NPI:1548921174
Name:DUCHENE, CHRISTOPHER SALIM
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:SALIM
Last Name:DUCHENE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3433A 22ND AVE W
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98199-2308
Mailing Address - Country:US
Mailing Address - Phone:915-238-4800
Mailing Address - Fax:
Practice Address - Street 1:3433A 22ND AVE W
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98199-2308
Practice Address - Country:US
Practice Address - Phone:915-238-4800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-05
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health