Provider Demographics
NPI:1982445763
Name:SOPKA, DANIELA (LMHCA)
Entity type:Individual
Prefix:
First Name:DANIELA
Middle Name:
Last Name:SOPKA
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17140 135TH AVE NE APT E307
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072-8820
Mailing Address - Country:US
Mailing Address - Phone:440-381-6161
Mailing Address - Fax:
Practice Address - Street 1:17140 135TH AVE NE APT E307
Practice Address - Street 2:
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-8820
Practice Address - Country:US
Practice Address - Phone:440-381-6161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-04
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
WAMC61537423101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health