1922132406 NPI number — MS. KATHLEEN KLEMA ALBIN M.A., L.M.H.C.

Table of content: MS. KATHLEEN KLEMA ALBIN M.A., L.M.H.C. (NPI 1922132406)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922132406 NPI number — MS. KATHLEEN KLEMA ALBIN M.A., L.M.H.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALBIN
Provider First Name:
KATHLEEN
Provider Middle Name:
KLEMA
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
M.A., L.M.H.C.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1922132406
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 7002
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LYNNWOOD
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98046-7002
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
425-299-7753
Provider Business Mailing Address Fax Number:
425-778-6634

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
406 MAIN ST
Provider Second Line Business Practice Location Address:
#111
Provider Business Practice Location Address City Name:
EDMONDS
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98020-3166
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-299-7753
Provider Business Practice Location Address Fax Number:
425-778-6634
Provider Enumeration Date:
03/15/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  LH00009023 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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