Provider Demographics
NPI:1386962637
Name:DULANEY, STEPHEN ALAN (MA)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:ALAN
Last Name:DULANEY
Suffix:
Gender:
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1128 PUESTA DEL SOL AVE
Mailing Address - Street 2:
Mailing Address - City:CAMANO ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98282-5502
Mailing Address - Country:US
Mailing Address - Phone:206-295-9030
Mailing Address - Fax:
Practice Address - Street 1:16404 SMOKEY POINT BLVD STE 102B
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-8417
Practice Address - Country:US
Practice Address - Phone:206-295-9030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-12
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60284078101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health