Provider Demographics
NPI:1003696253
Name:NATTERSTAD, HEATHER L (MA, PSYD, LMHCA)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:L
Last Name:NATTERSTAD
Suffix:
Gender:F
Credentials:MA, PSYD, LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7011 74TH DR NE
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98270-6556
Mailing Address - Country:US
Mailing Address - Phone:503-475-4746
Mailing Address - Fax:
Practice Address - Street 1:2707 COLBY AVE STE 603
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-3565
Practice Address - Country:US
Practice Address - Phone:503-475-4746
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61233920101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty