Provider Demographics
NPI:1891591590
Name:LOUDER, MADELEINE (LMHCA)
Entity type:Individual
Prefix:
First Name:MADELEINE
Middle Name:
Last Name:LOUDER
Suffix:
Gender:
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 1ST AVE STE 330
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2246
Mailing Address - Country:US
Mailing Address - Phone:206-486-6062
Mailing Address - Fax:
Practice Address - Street 1:402 S 333RD ST STE 121
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-7099
Practice Address - Country:US
Practice Address - Phone:206-486-6062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-22
Last Update Date:2025-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61651810101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health