Provider Demographics
NPI:1730328360
Name:HELTON, DAVID G (MA, LMFT)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:G
Last Name:HELTON
Suffix:
Gender:M
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9510 134TH ST E
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98373-5534
Mailing Address - Country:US
Mailing Address - Phone:253-906-0043
Mailing Address - Fax:
Practice Address - Street 1:920 ALDER AVE STE 202
Practice Address - Street 2:
Practice Address - City:SUMNER
Practice Address - State:WA
Practice Address - Zip Code:98390-1401
Practice Address - Country:US
Practice Address - Phone:253-447-8235
Practice Address - Fax:253-466-1666
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-04
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF60009244106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist