Provider Demographics
NPI:1053012997
Name:DAHL, SANNA
Entity type:Individual
Prefix:
First Name:SANNA
Middle Name:
Last Name:DAHL
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 1:2150 N 107TH ST STE B40
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-9031
Mailing Address - Country:US
Mailing Address - Phone:763-645-2447
Mailing Address - Fax:
Practice Address - Street 1:2150 N 107TH ST STE B40
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-9031
Practice Address - Country:US
Practice Address - Phone:763-645-2447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-16
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor