Provider Demographics
NPI:1700078367
Name:STROOT, DARLENE JOAN (MA/MFT)
Entity type:Individual
Prefix:MRS
First Name:DARLENE
Middle Name:JOAN
Last Name:STROOT
Suffix:
Gender:F
Credentials:MA/MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6100 SOUTHCENTER BLVD
Mailing Address - Street 2:
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98188
Mailing Address - Country:US
Mailing Address - Phone:206-444-7830
Mailing Address - Fax:206-444-7810
Practice Address - Street 1:3078 EL CAJON BLVD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92104-1322
Practice Address - Country:US
Practice Address - Phone:619-521-1743
Practice Address - Fax:619-521-1836
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-16
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
WARC60042724101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional