Provider Demographics
NPI:1962048249
Name:FERRULLI, DANIELLE (MA, MFT ASSOCIATE)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:FERRULLI
Suffix:
Gender:F
Credentials:MA, MFT ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21207 SE 274TH PL
Mailing Address - Street 2:
Mailing Address - City:MAPLE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98038-3272
Mailing Address - Country:US
Mailing Address - Phone:714-853-3882
Mailing Address - Fax:
Practice Address - Street 1:23745 225TH WAY SE
Practice Address - Street 2:
Practice Address - City:MAPLE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:98038-5294
Practice Address - Country:US
Practice Address - Phone:253-245-3375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-21
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60931414106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist